Allied Internal Medicine Pllc | |
6644 E Baywood Ave Mesa AZ 85206-1747 | |
(480) 321-2000 | |
Not Available |
Full Name | Allied Internal Medicine Pllc |
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Speciality | Internal Medicine |
Location | 6644 E Baywood Ave, Mesa, Arizona |
Authorized Official Name and Position | Dheeraj Bobba (SOLE MEMBER) |
Authorized Official Contact | 6024396780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allied Internal Medicine Pllc Po Box 39334 Phoenix AZ 85069-9334 Ph: (602) 439-6780 | Allied Internal Medicine Pllc 6644 E Baywood Ave Mesa AZ 85206-1747 Ph: (480) 321-2000 |
NPI Number | 1124408232 |
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Provider Enumeration Date | 06/03/2015 |
Last Update Date | 06/04/2015 |
Medicare PECOS PAC ID | 7315251964 |
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Medicare Enrollment ID | O20150917003141 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124408232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ashwin P Ramadhar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457328106 PECOS PAC ID: 6002843760 Enrollment ID: I20050725000504 |
Provider Name | Anne Borik |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023000486 PECOS PAC ID: 4082628920 Enrollment ID: I20060131000594 |
Provider Name | Dheeraj K Bobba |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588878508 PECOS PAC ID: 0840391694 Enrollment ID: I20071018000791 |
Provider Name | Edward C Markman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033327119 PECOS PAC ID: 4789739582 Enrollment ID: I20090831000454 |
Provider Name | Lalith Kumar Gande |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821275082 PECOS PAC ID: 2466598040 Enrollment ID: I20091013000289 |
Provider Name | Harish Nandipati |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265662928 PECOS PAC ID: 4587815147 Enrollment ID: I20121108000483 |
Provider Name | Tanya Renee Minafee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124415773 PECOS PAC ID: 6800101361 Enrollment ID: I20150813010372 |
Provider Name | Basha I Mohammed |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1942693098 PECOS PAC ID: 7911214341 Enrollment ID: I20150917002334 |
Provider Name | Rakesh Gaddam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306100375 PECOS PAC ID: 7911215900 Enrollment ID: I20150924000742 |
Provider Name | Andrea R Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740669274 PECOS PAC ID: 2062715998 Enrollment ID: I20160126002205 |
Provider Name | Tandra Arlene Garvin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881140259 PECOS PAC ID: 7214217181 Enrollment ID: I20161212000602 |
Provider Name | Ansan Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144770843 PECOS PAC ID: 7315293222 Enrollment ID: I20180709000317 |
Provider Name | Stephanie Deborah Kotsur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235620170 PECOS PAC ID: 9436406253 Enrollment ID: I20180724003054 |
Provider Name | Denise C Harriman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629585088 PECOS PAC ID: 1456608298 Enrollment ID: I20180724003869 |
Provider Name | Nichole M Barton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558841411 PECOS PAC ID: 2466797279 Enrollment ID: I20181226001661 |
Provider Name | Thiennga Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427601004 PECOS PAC ID: 2163856501 Enrollment ID: I20191218001468 |
Provider Name | Danielle M Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124662374 PECOS PAC ID: 3476989419 Enrollment ID: I20200211000546 |
Provider Name | Stacy Agersea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851922918 PECOS PAC ID: 7315368214 Enrollment ID: I20200602000267 |
Provider Name | Gloria Nyakerario Obaigwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386223329 PECOS PAC ID: 0345658993 Enrollment ID: I20210420000671 |
Provider Name | Cathryn Ann Griepentrog |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104402114 PECOS PAC ID: 6709289564 Enrollment ID: I20210730002339 |
Provider Name | Harangad S Bhangoo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235626029 PECOS PAC ID: 1850630518 Enrollment ID: I20210813003204 |
Provider Name | Gabrielle Rose Shadinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316602832 PECOS PAC ID: 2365834470 Enrollment ID: I20220124001290 |
Provider Name | Turab Chevelwala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841967668 PECOS PAC ID: 4486023512 Enrollment ID: I20221213001726 |
Provider Name | Hannah Lynn Milstead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629781331 PECOS PAC ID: 9638549413 Enrollment ID: I20230112002055 |
Provider Name | Cynthia Obaigwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932801933 PECOS PAC ID: 3577920008 Enrollment ID: I20230526002269 |
Provider Name | Cynthia Joann Hermosillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619612645 PECOS PAC ID: 7618337239 Enrollment ID: I20230714000659 |
Provider Name | Mustafa Al-damha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659993467 PECOS PAC ID: 0244655603 Enrollment ID: I20230823002212 |
Provider Name | Mohana K Loya |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649579186 PECOS PAC ID: 2365736485 Enrollment ID: I20231128001944 |
Provider Name | Munira Rafikovna Bershad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487433785 PECOS PAC ID: 3274981162 Enrollment ID: I20231204001400 |
Provider Name | Mary Boontung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790567816 PECOS PAC ID: 5890139752 Enrollment ID: I20240219002487 |
Provider Name | Domtila J Mwei |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972879732 PECOS PAC ID: 6901069764 Enrollment ID: I20240402001964 |
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