| Aimsmedaz Llc | |
|
1346 E Mcdowell Rd Phoenix AZ 85006-2616 | |
| (574) 804-9007 | |
| Not Available |
| Full Name | Aimsmedaz Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1346 E Mcdowell Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Vanessa Blossom (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5748049007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aimsmedaz Llc Po Box 768 Mishawaka IN 46546-0768 Ph: (574) 804-9007 | Aimsmedaz Llc 1346 E Mcdowell Rd Phoenix AZ 85006-2616 Ph: (574) 804-9007 |
| NPI Number | 1902415011 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 12/09/2020 |
| Medicare PECOS PAC ID | 6204241177 |
|---|---|
| Medicare Enrollment ID | O20210226002442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902415011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan A Orsich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467766899 PECOS PAC ID: 2668664756 Enrollment ID: I20101007000695 |
| Provider Name | Pamela L Fazekas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063964658 PECOS PAC ID: 4880955020 Enrollment ID: I20180302000849 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20210303002760 |
| Provider Name | Ju Ry Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255911384 PECOS PAC ID: 1658770169 Enrollment ID: I20210602002582 |
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