Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Phoenix Children's Hospital, Inc

Organization Pediatrics Physician · NPI 1417121393

Phoenix Children's Hospital, Inc provides Pediatrics Physician services in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5425 E Bell Rd Ste 145
Scottsdale, AZ 85254-6010
Phone: (602) 933-5730
Fax: (602) 933-2483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OTC7349 (AZ)

Record details

NPI number1417121393
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Children's Hospital, Inc
Authorized official Raheel Farough — Svp, Managed Care & Payor Strategy · (602) 933-3548
Other names Phoenix Children'S Medical Group; Phoenix Children'S Medical Group; Phoenix Children'S Pediatrics - Scottsdale
NPI enumeratedApril 22, 2008
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008

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