Ivan Landa, DO is a
Student In An Organized Health Care Education/training Program physician based in Phoenix, Arizona. Ivan Landa is licensed to practice in * (Not Available) (license number ) and his current practice location is 350 W Thomas Rd, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 406-3000.
NPI number for Ivan Landa is 1851032254 and his current mailing address is 4001 N 3rd St Ste 290, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851032254.
Physician's Profile
| Full Name | Ivan Landa |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 350 W Thomas Rd, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851032254
- Provider Enumeration Date: 04/07/2022
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Ivan Landa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851032254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 010759 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Landa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivan Landa, DO
4001 N 3rd St Ste 290,
Phoenix, AZ 85012-2071
Ph: () - | Ivan Landa, DO
350 W Thomas Rd,
Phoenix, AZ 85013-4409
Ph: (602) 406-3000 |
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