| Amd Internal Medicine Pllc | |
|
395 N Silverbell Rd Ste 107 Tucson AZ 85745-2675 | |
| (612) 345-2888 | |
| Not Available |
| Full Name | Amd Internal Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 395 N Silverbell Rd, Tucson, Arizona |
| Authorized Official Name and Position | Hassan Shafeeq (DIRECTOR) |
| Authorized Official Contact | 6123452888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amd Internal Medicine Pllc 1200 E Placita Ardilla Tucson AZ 85718-2910 Ph: (612) 345-2888 | Amd Internal Medicine Pllc 395 N Silverbell Rd Ste 107 Tucson AZ 85745-2675 Ph: (612) 345-2888 |
| NPI Number | 1144616236 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 3173837283 |
|---|---|
| Medicare Enrollment ID | O20150803002976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144616236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 48003 (Arizona) | Primary |
| Provider Name | Hassan Shafeeq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154378164 PECOS PAC ID: 3173527108 Enrollment ID: I20131030000329 |
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