| Azitts | |
|
2735 E Main St Ste 3 Mesa AZ 85213-9269 | |
| (480) 867-1722 | |
| (480) 867-1709 |
| Full Name | Azitts |
|---|---|
| Speciality | Clinic/Center |
| Location | 2735 E Main St Ste 3, Mesa, Arizona |
| Authorized Official Name and Position | Medina Kamau (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4808671722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azitts 2735 E Main St Ste 2-3 Mesa AZ 85213-9269 Ph: (480) 867-1722 | Azitts 2735 E Main St Ste 3 Mesa AZ 85213-9269 Ph: (480) 867-1722 |
| NPI Number | 1821639642 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 3476805854 |
|---|---|
| Medicare Enrollment ID | O20181012001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821639642 | NPI | - | NPPES |
| Provider Name | Medina M Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215334172 PECOS PAC ID: 6002132990 Enrollment ID: I20150312001335 |
| Provider Name | Angela Marie Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639553704 PECOS PAC ID: 3476860859 Enrollment ID: I20150917000372 |
| Provider Name | Mary David Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225588163 PECOS PAC ID: 0042593949 Enrollment ID: I20170217001984 |
| Provider Name | Chitra Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356724728 PECOS PAC ID: 2163792276 Enrollment ID: I20170724000843 |
| Provider Name | Bright Alvaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477009413 PECOS PAC ID: 0143283879 Enrollment ID: I20200228001771 |
| Provider Name | Sarita Vijay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205569910 PECOS PAC ID: 3678958758 Enrollment ID: I20220912000602 |
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