Dr Ashishkumar Kanu Patel, MD | |
4722 N 24th St, Suite 150, Phoenix, AZ 85016-4800 | |
(602) 256-4628 | |
Not Available |
Full Name | Dr Ashishkumar Kanu Patel |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 4722 N 24th St, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689811176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 41553 (Arizona) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | N4651 (Texas) | Secondary |
Entity Name | Impact Physician Group, Texas, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740803113 PECOS PAC ID: 7113349788 Enrollment ID: O20200629000314 |
Mailing Address | Practice Location Address |
---|---|
Dr Ashishkumar Kanu Patel, MD 901 E Willetta St, Room 2503, Phoenix, AZ 85006-2727 Ph: (602) 546-0676 | Dr Ashishkumar Kanu Patel, MD 4722 N 24th St, Suite 150, Phoenix, AZ 85016-4800 Ph: (602) 256-4628 |
Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198 | |
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521 | |
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263 | |
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006 | |
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000 | |
Alexandra Palacios, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945 | |
Dr. Salil V. Pradhan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5404 Fax: 602-344-5859 |