| Adriana T Gaidici Md Pc | |
|
340 E Palm Ln A260 Phoenix AZ 85004-4603 | |
| (602) 254-1136 | |
| (602) 279-1720 |
| Full Name | Adriana T Gaidici Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 E Palm Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Shannon White (OFFICE MANAGER) |
| Authorized Official Contact | 6024432325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adriana T Gaidici Md Pc Po Box 39179 Phoenix AZ 85069 Ph: (602) 395-0718 | Adriana T Gaidici Md Pc 340 E Palm Ln A260 Phoenix AZ 85004-4603 Ph: (602) 254-1136 |
| NPI Number | 1740380138 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 07/06/2010 |
| Medicare PECOS PAC ID | 2961403977 |
|---|---|
| Medicare Enrollment ID | O20070117000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740380138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 31367 (Arizona) | Primary |
| Provider Name | Adriana T Gaidici |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508867839 PECOS PAC ID: 5496657157 Enrollment ID: I20040122001133 |
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