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

Providence General Medicine, PC

Organization Internal Medicine Physician · NPI 1164693974

Providence General Medicine, PC is an Internal Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

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

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Practice location Address checks out

9220 N Central Ave
Phoenix, AZ 85020-2416
Phone: (602) 254-7077
Fax: (602) 254-7078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 31836 (AZ)

Record details

NPI number1164693974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerardo Sicalo Oborsky — Medical Director · (602) 254-7077
NPI enumeratedMarch 19, 2008
Last updated in NPPESSeptember 27, 2011
Mailing address9220 N. Central Avenue, Phoenix, AZ 85020-2416

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