Samita Khara, CPNP-PC | |
1432 S Dobson Rd Ste 506, Mesa, AZ 85202-4778 | |
(480) 412-6430 | |
Not Available |
Full Name | Samita Khara |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1432 S Dobson Rd Ste 506, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487224382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 260099 (Arizona) | Primary |
Entity Name | Banner Physician Super Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
Mailing Address | Practice Location Address |
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Samita Khara, CPNP-PC 1432 S Dobson Rd Ste 506, Mesa, AZ 85202-4778 Ph: () - | Samita Khara, CPNP-PC 1432 S Dobson Rd Ste 506, Mesa, AZ 85202-4778 Ph: (480) 412-6430 |
Aida E Amado, MS, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10163 E Jacob Ave, Mesa, AZ 85209 Phone: 480-296-8849 | |
Marilyn Rose Schatz, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206 Phone: 480-835-7111 Fax: 480-969-9345 | |
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Alisha Kristine Holben, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 S Bellview, Mesa, AZ 85204 Phone: 276-623-7851 | |
Danielle Marin Hendrickson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1303 S Longmore, Mesa, AZ 85202 Phone: 480-649-5297 | |
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