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

Phoenix Children's Hospital, Inc

Organization Pediatrics Physician · NPI 1417121393

Phoenix Children's Hospital, Inc is a Pediatrics Physician 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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