| Ahwatukee Health And Recovery | |
|
16515 S 40th St Ste 119 Phoenix AZ 85048-0559 | |
| (480) 272-8450 | |
| (480) 272-8307 |
| Full Name | Ahwatukee Health And Recovery |
|---|---|
| Speciality | Internal Medicine |
| Location | 16515 S 40th St Ste 119, Phoenix, Arizona |
| Authorized Official Name and Position | Katherine Leigh Sarina (ADMINISTRATOR/OWNER) |
| Authorized Official Contact | 4802728450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahwatukee Health And Recovery 16515 S 40th St Ste 119 Phoenix AZ 85048-0559 Ph: (480) 272-8450 | Ahwatukee Health And Recovery 16515 S 40th St Ste 119 Phoenix AZ 85048-0559 Ph: (480) 272-8450 |
| NPI Number | 1053803676 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 02/22/2021 |
| Medicare PECOS PAC ID | 8224383906 |
|---|---|
| Medicare Enrollment ID | O20180814001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053803676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Victoria L M M Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689611162 PECOS PAC ID: 1951340678 Enrollment ID: I20141008000141 |
| Provider Name | Daniel M Pacheco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346401759 PECOS PAC ID: 9830367739 Enrollment ID: I20170906001382 |
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