Dayaljibhai D Patel, MD | |
1856 E. Florence Blvd., Sun Life Center For Children, Casa Grande, AZ 85122 | |
(520) 836-5036 | |
(520) 316-0365 |
Full Name | Dayaljibhai D Patel |
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Gender | Male |
Speciality | Pediatrics |
Location | 1856 E. Florence Blvd., Casa Grande, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013932912 | NPI | - | NPPES |
948581 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34184 (Arizona) | Primary |
Entity Name | Banner Urgent Care Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784 |
Entity Name | Banner Urgent Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188 |
Mailing Address | Practice Location Address |
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Dayaljibhai D Patel, MD P.o. Box 10097, 865 N Arizola, Sun Life Family Health Center, Casa Grande, AZ 85122 Ph: (520) 836-3446 | Dayaljibhai D Patel, MD 1856 E. Florence Blvd., Sun Life Center For Children, Casa Grande, AZ 85122 Ph: (520) 836-5036 |
Noelle Kristina Kolessar, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 1856 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-836-5036 | |
Shilpa Mohan Ullikashi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1760 E Florence Blvd Ste 100, Casa Grande, AZ 85122 Phone: 520-374-6505 | |
Dr. Tina Yuling Liao, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1856 E Florence Blvd Ste 1, Casa Grande, AZ 85122 Phone: 520-836-5036 Fax: 520-316-0365 | |
Dr. Robert Joseph Kull, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85222 Phone: 520-381-6559 Fax: 520-381-6019 | |
Dr. Rudolph Bustamante, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1856 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-381-0380 Fax: 520-836-1826 | |
Dr. Scott Samuel Schnee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1760 E Florence Blvd, Suite 100, Casa Grande, AZ 85122 Phone: 520-421-7400 Fax: 520-421-7428 |