OrganizationActive
Infectious Disease Care, PLC
NPI 1891831228 · Infectious Disease Physician · Glendale, AZ
Provider details
- NPI number
- 1891831228
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Shanahan, Billing Manager(623) 974-6611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4410 W Union Hills Dr
Suite # 7-280
Glendale, AZ 85308-1660
Phone: (623) 974-6611
Fax: (623) 974-9434
Approximate (ZIP-level) locationGet directions
Mailing address
4410 W Union Hills Dr
Glendale, AZ 85308-1660
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2014-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.