| Satinder S. Purewal, M.d. Llc | |
|
6677 W Thunderbird Rd Blding I-164 Glendale AZ 85306-3709 | |
| (623) 878-2100 | |
| (623) 776-9419 |
| Full Name | Satinder S. Purewal, M.d. Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6677 W Thunderbird Rd, Glendale, Arizona |
| Authorized Official Name and Position | Simi Purewal (OFFICE MANAGER) |
| Authorized Official Contact | 6238782100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satinder S. Purewal, M.d. Llc 6677 W Thunderbird Rd Blding I-164 Glendale AZ 85306-3709 Ph: (623) 878-2100 | Satinder S. Purewal, M.d. Llc 6677 W Thunderbird Rd Blding I-164 Glendale AZ 85306-3709 Ph: (623) 878-2100 |
| NPI Number | 1528128311 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 07/25/2011 |
| Medicare PECOS PAC ID | 6507814191 |
|---|---|
| Medicare Enrollment ID | O20050111000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528128311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26854 (Arizona) | Primary |
| Provider Name | Muhammad Ashraf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730267246 PECOS PAC ID: 9537063730 Enrollment ID: I20031120000302 |
| Provider Name | Russell A Horning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669526158 PECOS PAC ID: 8123911237 Enrollment ID: I20040203001033 |
| Provider Name | Karnail S Dhillon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437257961 PECOS PAC ID: 2062305840 Enrollment ID: I20040205000384 |
| Provider Name | Jasbir S Bisla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528058500 PECOS PAC ID: 4587629993 Enrollment ID: I20041124000779 |
| Provider Name | Satinder S Purewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528161908 PECOS PAC ID: 6002864691 Enrollment ID: I20050111000246 |
| Provider Name | Andrea L Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831209014 PECOS PAC ID: 3779532486 Enrollment ID: I20050120000363 |
| Provider Name | Stephen Kittridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518067131 PECOS PAC ID: 3577698661 Enrollment ID: I20100315000512 |
| Provider Name | Chen-pei Hung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649549635 PECOS PAC ID: 8426217399 Enrollment ID: I20120313000207 |
| Provider Name | Kyrie A Conseen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568639649 PECOS PAC ID: 2466612361 Enrollment ID: I20120330000415 |
| Provider Name | Jane R Meier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831402338 PECOS PAC ID: 9537480488 Enrollment ID: I20150629000671 |
| Provider Name | Kristy Grupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104208354 PECOS PAC ID: 3476861626 Enrollment ID: I20151007002722 |
| Provider Name | Heather Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649653668 PECOS PAC ID: 2860701513 Enrollment ID: I20151020000123 |
| Provider Name | Rosekamal Mckinney |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1457794885 PECOS PAC ID: 8426343708 Enrollment ID: I20160825001481 |
| Provider Name | Shawn Patrick Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710903281 PECOS PAC ID: 8224305552 Enrollment ID: I20170517000835 |
| Provider Name | Cassandra Beth Diaz De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275036584 PECOS PAC ID: 1850646837 Enrollment ID: I20180614002240 |
| Provider Name | Sylvia Anne Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063921609 PECOS PAC ID: 4486906914 Enrollment ID: I20181011001781 |
| Provider Name | Suzanne M Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790245678 PECOS PAC ID: 0941533327 Enrollment ID: I20190618001525 |
| Provider Name | Nicole Danielle Garber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043470503 PECOS PAC ID: 8426297615 Enrollment ID: I20210108002438 |
| Provider Name | Courtney Tafoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922608447 PECOS PAC ID: 0749694305 Enrollment ID: I20210122001886 |
| Provider Name | Nancy Christine Flanagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922690890 PECOS PAC ID: 4284049578 Enrollment ID: I20210218002275 |
| Provider Name | Lizy Windsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912514878 PECOS PAC ID: 3072922277 Enrollment ID: I20210428002952 |
| Provider Name | Lizete Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598341877 PECOS PAC ID: 6406255504 Enrollment ID: I20210521001773 |
| Provider Name | Sarbjit Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184293490 PECOS PAC ID: 8527469212 Enrollment ID: I20210701002906 |
| Provider Name | Anita S Philip-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710515796 PECOS PAC ID: 7810399953 Enrollment ID: I20210712002240 |
| Provider Name | David Bryan Tanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598372807 PECOS PAC ID: 4082012547 Enrollment ID: I20211013002832 |
| Provider Name | Kerrilynn J Latta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700552114 PECOS PAC ID: 6406254978 Enrollment ID: I20211013003603 |
| Provider Name | Roya Nayeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225606460 PECOS PAC ID: 1052709557 Enrollment ID: I20211103000909 |
| Provider Name | Priya Sabumon Balan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366015067 PECOS PAC ID: 9133516933 Enrollment ID: I20220426001732 |
| Provider Name | Barbara Kayiira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659074110 PECOS PAC ID: 1850754458 Enrollment ID: I20230830001046 |
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