Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chestnut Health of Arizona PLLC

Organization Internal Medicine Physician · NPI 1366318974

Chestnut Health of Arizona PLLC is an Internal Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11812 N 19th Ave
Phoenix, AZ 85029-3536
Phone: (602) 900-8828
Fax: (703) 649-6188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1366318974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omair Siraj — Ceo · (703) 964-8199
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address1530 N Randall Rd Ste 210, Elgin, IL 60123-7879

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