| Arizona Physician Group Pllc | |
|
6567 E Carondelet Dr Ste 475 Tucson AZ 85710-6152 | |
| (520) 420-1966 | |
| (866) 733-1907 |
| Full Name | Arizona Physician Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6567 E Carondelet Dr Ste 475, Tucson, Arizona |
| Authorized Official Name and Position | Kiyan Rad (OWNER) |
| Authorized Official Contact | 5204201966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Physician Group Pllc 7959 N Thornydale Rd # 89520 Tucson AZ 85741-1443 Ph: (520) 420-1966 | Arizona Physician Group Pllc 6567 E Carondelet Dr Ste 475 Tucson AZ 85710-6152 Ph: (520) 420-1966 |
| NPI Number | 1578272555 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 4688045297 |
|---|---|
| Medicare Enrollment ID | O20230118002301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578272555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Windy Marie Tulino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265978399 PECOS PAC ID: 6709163272 Enrollment ID: I20170510002009 |
| Provider Name | Ian G Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427576859 PECOS PAC ID: 9234491127 Enrollment ID: I20180312001486 |
| Provider Name | Daniel Steven Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851749055 PECOS PAC ID: 2769776244 Enrollment ID: I20190806000766 |
| Provider Name | Kiyan Rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649690769 PECOS PAC ID: 0143592881 Enrollment ID: I20191209000531 |
| Provider Name | Devin L Wengert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346709557 PECOS PAC ID: 4284064197 Enrollment ID: I20200416002507 |
| Provider Name | Kasandra Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902454655 PECOS PAC ID: 5092123356 Enrollment ID: I20210426002812 |
| Provider Name | Silvia Estefania Plascencia Oliveros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063072502 PECOS PAC ID: 7719383876 Enrollment ID: I20220627002567 |
| Provider Name | Jonathan Robert Martens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184335085 PECOS PAC ID: 0547625824 Enrollment ID: I20230421000587 |
| Provider Name | Sylvestor Moses |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841853777 PECOS PAC ID: 9335474758 Enrollment ID: I20230524002407 |
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