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

Clarrisa W Phan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205098902

Clarrisa W Phan, MD is a Family Practice in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2007, 19 years ago. Practices with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, a 223-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 200-5383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45383 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R70147 (AZ)

Record details

NPI number1205098902
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESJanuary 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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