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

Phoenix Id LLC

Organization Infectious Disease Physician · NPI 1205027646

Phoenix Id LLC is an Infectious Disease Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 E Palm Ln Ste 100
Phoenix, AZ 85004-4528
Phone: (602) 254-1136
Fax: (602) 272-1720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 37316 (AZ)

Record details

NPI number1205027646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Oommen — Owner · (480) 907-7786
NPI enumeratedAugust 8, 2007
Last updated in NPPESOctober 9, 2008
Mailing address3303 S Lindsay Rd Ste 123, Gilbert, AZ 85297-2100

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