Jaya H Maddur, MD | |
111 El Camino Real, Sierra Vista, AZ 85635-2807 | |
(520) 459-3850 | |
(520) 459-3857 |
Full Name | Jaya H Maddur |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 111 El Camino Real, Sierra Vista, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316038136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 14396 (Arizona) | Primary |
Entity Name | Swan Gastroenterology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368891 PECOS PAC ID: 9133425903 Enrollment ID: O20160304001732 |
Mailing Address | Practice Location Address |
---|---|
Jaya H Maddur, MD 111 El Camino Real, Sierra Vista, AZ 85635-2807 Ph: (520) 459-3850 | Jaya H Maddur, MD 111 El Camino Real, Sierra Vista, AZ 85635-2807 Ph: (520) 459-3850 |
Ricardo Dias Goncalves Spaid, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 | |
Jose Ignacio Gonzalez, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 157 N Coronado Dr, Ste A, Sierra Vista, AZ 85635 Phone: 520-458-1208 Fax: 520-458-1675 | |
Rebecca Pradhan-nara, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 77 Calle Portal, Suite B260a, Sierra Vista, AZ 85635 Phone: 520-226-4338 Fax: 520-335-8705 | |
Anum Riaz, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 | |
Mr. Sami Aqqad, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5700 Az-90, Sierra Vista, AZ 85635 Phone: 520-263-2000 | |
Mustafa Faisal Mustafa Douglas, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-3190 | |
Mrs. Ayah Khaled-fozan Almufleh, M.D Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5700 Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 Fax: 520-263-2200 |