| Arizona Infectious Disease Pllc | |
|
5601 W Eugie Ave Ste 204 Glendale AZ 85304-1258 | |
| (623) 244-0050 | |
| (623) 244-0100 |
| Full Name | Arizona Infectious Disease Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5601 W Eugie Ave Ste 204, Glendale, Arizona |
| Authorized Official Name and Position | Aman Dalal (OWNER/CEO) |
| Authorized Official Contact | 6232440050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Infectious Disease Pllc 5601 W Eugie Ave Ste 204 Glendale AZ 85304-1258 Ph: (623) 244-0050 | Arizona Infectious Disease Pllc 5601 W Eugie Ave Ste 204 Glendale AZ 85304-1258 Ph: (623) 244-0050 |
| NPI Number | 1265904338 |
|---|---|
| Provider Enumeration Date | 12/29/2018 |
| Last Update Date | 09/25/2022 |
| Medicare PECOS PAC ID | 9133460694 |
|---|---|
| Medicare Enrollment ID | O20190410000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265904338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ngozi A Osondu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598778177 PECOS PAC ID: 3476540519 Enrollment ID: I20040501000180 |
| Provider Name | Meenal V Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184706384 PECOS PAC ID: 6901884188 Enrollment ID: I20040715001133 |
| Provider Name | Mandeep K Rai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861681231 PECOS PAC ID: 0143258467 Enrollment ID: I20050728000775 |
| Provider Name | Harshdeep Singh Babbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447573191 PECOS PAC ID: 1759551559 Enrollment ID: I20110906000386 |
| Provider Name | Michael Gehman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912973041 PECOS PAC ID: 8820286222 Enrollment ID: I20150415000967 |
| Provider Name | Aman Kumar Dalal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750595575 PECOS PAC ID: 1254482227 Enrollment ID: I20190410000561 |
| Provider Name | Krisen Czapla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205479078 PECOS PAC ID: 3779912456 Enrollment ID: I20200414002798 |
| Provider Name | Danielle Nicole Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023697828 PECOS PAC ID: 9436556297 Enrollment ID: I20210921001434 |
| Provider Name | Mark Danforth Lacy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134177215 PECOS PAC ID: 9638181910 Enrollment ID: I20231026000419 |
| Provider Name | Shakthishree Kandaswamy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427431147 PECOS PAC ID: 8527373208 Enrollment ID: I20231208001337 |
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