Valley Institute Of Neurology Pllc | |
6750 E Baywood Ave Suite 502 Mesa AZ 85206-1749 | |
(480) 854-7100 | |
(480) 854-7900 |
Full Name | Valley Institute Of Neurology Pllc |
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Speciality | Psychiatry & Neurology |
Location | 6750 E Baywood Ave, Mesa, Arizona |
Authorized Official Name and Position | Arun Kumar (OWNER) |
Authorized Official Contact | 4808547100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Institute Of Neurology Pllc 6750 E Baywood Ave Suite 502 Mesa AZ 85206-1749 Ph: (480) 854-7100 | Valley Institute Of Neurology Pllc 6750 E Baywood Ave Suite 502 Mesa AZ 85206-1749 Ph: (480) 854-7100 |
NPI Number | 1366572844 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 07/24/2015 |
Medicare PECOS PAC ID | 2466496120 |
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Medicare Enrollment ID | O20050614000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366572844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 29830 (Arizona) | Primary |
Provider Name | Arun Kumar |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477535078 PECOS PAC ID: 9335184332 Enrollment ID: I20050624000594 |
Provider Name | Rebecca Ann Maro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033605159 PECOS PAC ID: 8325396393 Enrollment ID: I20180807004062 |
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