Arizona Critical Care Specialists, Llc | |
111 E Dunlap Ave Ste 1-482 Phoenix AZ 85020-7806 | |
(602) 609-2600 | |
(602) 609-2601 |
Full Name | Arizona Critical Care Specialists, Llc |
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Speciality | Internal Medicine |
Location | 111 E Dunlap Ave Ste 1-482, Phoenix, Arizona |
Authorized Official Name and Position | Jagruti A Patel (OWNER) |
Authorized Official Contact | 6026092600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arizona Critical Care Specialists, Llc 111 E Dunlap Ave Ste 1-482 Phoenix AZ 85020-7806 Ph: (609) 609-2600 | Arizona Critical Care Specialists, Llc 111 E Dunlap Ave Ste 1-482 Phoenix AZ 85020-7806 Ph: (602) 609-2600 |
NPI Number | 1770192437 |
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Provider Enumeration Date | 07/29/2020 |
Last Update Date | 11/20/2020 |
Medicare PECOS PAC ID | 0749608719 |
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Medicare Enrollment ID | O20200909000112 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770192437 | NPI | - | NPPES |
079670 | Medicaid | AZ |
Provider Name | Irfan Khalid |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1053308486 PECOS PAC ID: 4981686284 Enrollment ID: I20040810001135 |
Provider Name | Jagruti A Patel |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1104831890 PECOS PAC ID: 5991702607 Enrollment ID: I20061021000006 |
Provider Name | Brent M Cutshall |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1225079635 PECOS PAC ID: 8527090976 Enrollment ID: I20080324000376 |
Provider Name | Sabitha S Setty |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1114117686 PECOS PAC ID: 3779666144 Enrollment ID: I20110706000509 |
Provider Name | Anselmo Garcia |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1679791248 PECOS PAC ID: 0244316412 Enrollment ID: I20110908001614 |
Provider Name | Spyros Kamarinos |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1841523545 PECOS PAC ID: 7517183148 Enrollment ID: I20140717000240 |
Provider Name | Hesham E Abdelrazek |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1841266681 PECOS PAC ID: 0547299547 Enrollment ID: I20150202001478 |
Provider Name | Dominique Gagne |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1528418696 PECOS PAC ID: 4082907456 Enrollment ID: I20160721002629 |
Provider Name | Ace A Ovil |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1649546193 PECOS PAC ID: 9436428497 Enrollment ID: I20180824002309 |
Provider Name | Joshua Alexander Luke Hindman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538646161 PECOS PAC ID: 5092056341 Enrollment ID: I20190415000539 |
Provider Name | Katie Marie Meahan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336605567 PECOS PAC ID: 7214357516 Enrollment ID: I20210416000543 |
Provider Name | Laxmi Dhakal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20230403002346 |
Provider Name | Leonard Michael Hamera |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487144812 PECOS PAC ID: 7911376025 Enrollment ID: I20230627000257 |
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