| Arizona Medical Center Pllc | |
|
2095 W 24th St Ste A Yuma AZ 85364-6243 | |
| (928) 328-8393 | |
| Not Available |
| Full Name | Arizona Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2095 W 24th St Ste A, Yuma, Arizona |
| Authorized Official Name and Position | Manjunath Nathan (PHYSICIAN) |
| Authorized Official Contact | 9283288393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Medical Center Pllc 2095 W 24th St Ste A Yuma AZ 85364-6243 Ph: (928) 328-8393 | Arizona Medical Center Pllc 2095 W 24th St Ste A Yuma AZ 85364-6243 Ph: (928) 328-8393 |
| NPI Number | 1619057932 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 12/19/2012 |
| Medicare PECOS PAC ID | 3971505850 |
|---|---|
| Medicare Enrollment ID | O20070206000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619057932 | NPI | - | NPPES |
| 153563 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36116 (Arizona) | Primary |
| Provider Name | Manjunath Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225024896 PECOS PAC ID: 8729089016 Enrollment ID: I20070206000073 |
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