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

Mohave Primary Care

Organization Specialist · NPI 1700909330

Mohave Primary Care is a Specialist in Kingman, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

975 Sycamore Ave
Kingman, AZ 86409-3548
Phone: (928) 692-1900
Fax: (928) 692-7334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25797 (AZ)

Record details

NPI number1700909330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilangovan Govindarajan — President · (928) 692-1900
NPI enumeratedApril 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2183 Seneca St, Kingman, AZ 86401-6511

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