Dr Soundos K Moualla, MD | |
802 Ainsworth Dr Ste A, Prescott, AZ 86301-1623 | |
(928) 445-6025 | |
(928) 777-2423 |
Full Name | Dr Soundos K Moualla |
---|---|
Gender | Female |
Speciality | Interventional Cardiology |
Experience | 25 Years |
Location | 802 Ainsworth Dr Ste A, Prescott, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396853461 | NPI | - | NPPES |
48512 | Other | AZ | ARIZONA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 4301093355 (Michigan) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 48512 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Yavapai Regional Medical Center | Prescott, AZ | Hospital |
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Kingman Regional Medical Center | Kingman, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yavapai Regional Medical Center Physician Care, Llc | 5294898987 | 119 |
Yavapai Community Hospital Association | 6608777024 | 18 |
Entity Name | Yavapai Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902897820 PECOS PAC ID: 6608777024 Enrollment ID: O20040119000405 |
Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
Mailing Address | Practice Location Address |
---|---|
Dr Soundos K Moualla, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5987 | Dr Soundos K Moualla, MD 802 Ainsworth Dr Ste A, Prescott, AZ 86301-1623 Ph: (928) 445-6025 |
Dr. Jyotsana M Patel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 Phone: 928-445-4860 | |
Dr. Warren Reyes Ho, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3122 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-7632 Fax: 928-445-9283 | |
Karen L Yates, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Clearwater Dr, Suite C, Prescott, AZ 86305 Phone: 928-771-0555 Fax: 928-771-0444 | |
Dr. Milton Murray Schild, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301 Phone: 928-771-5548 Fax: 928-771-5549 | |
Dr. Ayyasamy P Selvam, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 N Us Highway 89, Va Medical Center, Prescott, AZ 86313 Phone: 928-776-6009 Fax: 928-776-6098 | |
Dr. Jerome C Robinson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Ainsworth Dr Ste A, Prescott, AZ 86301 Phone: 928-445-6025 Fax: 928-778-3026 | |
Dr. George Sein, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl Ste 6, Prescott, AZ 86305 Phone: 928-445-4166 |