Dr Vinodh Vasudevan, MD | |
9059 W Lake Pleasant Pkwy Ste E-540, Peoria, AZ 85382 | |
(632) 322-3380 | |
(623) 322-4399 |
Full Name | Dr Vinodh Vasudevan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 9059 W Lake Pleasant Pkwy Ste E-540, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528179884 | NPI | - | NPPES |
168411-01 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35728 (Arizona) | Primary |
Entity Name | Hospitalists Of Arizona, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578564860 PECOS PAC ID: 2163335290 Enrollment ID: O20031112000571 |
Mailing Address | Practice Location Address |
---|---|
Dr Vinodh Vasudevan, MD 9059 W Lake Pleasant Pkwy Ste E-540, Peoria, AZ 85382 Ph: (632) 322-3380 | Dr Vinodh Vasudevan, MD 9059 W Lake Pleasant Pkwy Ste E-540, Peoria, AZ 85382 Ph: (632) 322-3380 |
Kristin Sue Shepherd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7757 W. Deer Valley Road Suite 275, Peoria, AZ 85382 Phone: 623-878-2800 Fax: 623-878-9150 | |
Dr. Robin Broz, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8801 W Union Hills Dr, Peoria, AZ 85382 Phone: 623-241-9026 | |
Dr. Wylie Carhartt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9000 W Thunderbird Rd Ste 110, Peoria, AZ 85381 Phone: 855-776-7266 | |
Sandhya Ravi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382 Phone: 623-322-3380 Fax: 623-322-4399 | |
Dr. Agnes T Lardizabal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6780 W Thunderbird Rd, Suite A101, Peoria, AZ 85381 Phone: 602-843-1991 Fax: 602-843-3224 | |
Ashley Lynn Matrose Hineman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21681 N 77th Ave Ste 1410, Peoria, AZ 85382 Phone: 623-362-1818 Fax: 623-362-8095 | |
Heather Holley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9059 W Lake Pleasant Pkwy Ste E-540, Peoria, AZ 85382 Phone: 623-322-3380 Fax: 623-332-4399 |