Dr Roger Georges Dikdan, MD | |
1111 E Mcdowell Rd, Lower Level 2, Phoenix, AZ 85006-2612 | |
(602) 839-2296 | |
(602) 839-2084 |
Full Name | Dr Roger Georges Dikdan |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 13 Years |
Location | 1111 E Mcdowell Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407140957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R72644 (Arizona) | Secondary |
208M00000X | Hospitalist | R5539 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Western Regional Medical Center | Goodyear, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ctca Physicians Group Of Arizona Llc | 2264593474 | 110 |
Entity Name | Ctca Physicians Group Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger Georges Dikdan, MD 1111 E Mcdowell Rd, Lower Level 2, Phoenix, AZ 85006-2612 Ph: (602) 839-2296 | Dr Roger Georges Dikdan, MD 1111 E Mcdowell Rd, Lower Level 2, Phoenix, AZ 85006-2612 Ph: (602) 839-2296 |
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