Basic Information
| Provider Information | |||||||||
| NPI: | 1033418991 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESTEBAN | ||||||||
| FirstName: | RAMON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9201 W THOMAS ROAD | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6233274000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9201 W THOMAS ROAD | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6233277313 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2011 | ||||||||
| LastUpdateDate: | 10/08/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57014845 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 2011016963 | MO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 48131 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 48131 | AZ | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.