Provider Demographics
NPI:1699172429
Name:INFINITY CARE HEALTH SPECIALISTS LLC
Entity type:Organization
Organization Name:INFINITY CARE HEALTH SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CO CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:480-540-5646
Mailing Address - Street 1:520 N STAPLEY DR UNIT 206
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-7267
Mailing Address - Country:US
Mailing Address - Phone:480-540-5646
Mailing Address - Fax:
Practice Address - Street 1:520 N STAPLEY DR UNIT 206
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-7267
Practice Address - Country:US
Practice Address - Phone:480-540-5646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ141476175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty