| Arizona Id Consultants Llc | |
|
20660 N 40th St Unit 2168 Phoenix AZ 85050-7301 | |
| (313) 622-5917 | |
| Not Available |
| Full Name | Arizona Id Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20660 N 40th St, Phoenix, Arizona |
| Authorized Official Name and Position | Hazem Alsalman Hnaide (OWNER) |
| Authorized Official Contact | 3136225917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Id Consultants Llc 20660 N 40th St Unit 2168 Phoenix AZ 85050-7301 Ph: (313) 622-5917 | Arizona Id Consultants Llc 20660 N 40th St Unit 2168 Phoenix AZ 85050-7301 Ph: (313) 622-5917 |
| NPI Number | 1659753820 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 03/29/2016 |
| Medicare PECOS PAC ID | 2567771561 |
|---|---|
| Medicare Enrollment ID | O20151014000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659753820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37298 (Arizona) | Primary |
| Provider Name | Hazem Alsalman Hnaide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356560874 PECOS PAC ID: 3173619129 Enrollment ID: I20071022000625 |
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