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Dr. Lida A Mina, MD
Hematology & Oncology Physician in Gilbert, Arizona
NPI 1568625077

Lida A Mina is a Hematology & Oncology Physician based in Scottsdale, AZ and is specialized in Hematology & Oncology. Lida A Mina practices in Gilbert, AZ and has the professional credentials of MD. The NPI Number for Lida A Mina is 1568625077 and holds a License No. 01067429A (Arizona).

The current practice location address for Lida A Mina is 2940 E. Banner Gateway Dr., Gilbert, AZ and can be reached out via phone at 480-256-6444 and via fax at 480-256-4683.

Location: 2940 E. Banner Gateway Dr., Gilbert, AZ, 85259-5452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568625077
Provider Name
Lida A Mina
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2940 E. Banner Gateway Dr., Gilbert, AZ, 85259-5452
Phone Number
480-256-6444
Fax Number
480-256-4683
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2940 E. Banner Gateway Dr.
City
Gilbert
State
Arizona
Zip
85234
Phone Number
480-256-6444
Fax Number
480-256-4683
person
Provider Business Mailing Address Details
Address
2940 E. Banner Gateway Dr.
City
Gilbert
State
Arizona
Zip
85234
Phone Number
480-256-6444
Fax Number
480-256-4683
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
11012315 (Indiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01067429A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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