| Arizona Vascular Professionals, Llc | |
|
21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 | |
| (440) 655-9114 | |
| Not Available |
| Full Name | Arizona Vascular Professionals, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21001 N Tatum Blvd Ste 78-1640, Phoenix, Arizona |
| Authorized Official Name and Position | Laura Zoldan (ADMINISTRATOR) |
| Authorized Official Contact | 4803078258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Vascular Professionals, Llc 1450 W Guadalupe Rd Ste 124 Gilbert AZ 85233-3056 Ph: (480) 307-8258 | Arizona Vascular Professionals, Llc 21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 Ph: (440) 655-9114 |
| NPI Number | 1245013465 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 0446605174 |
|---|---|
| Medicare Enrollment ID | O20231016001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245013465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Brian W Zernich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902878895 PECOS PAC ID: 9931091253 Enrollment ID: I20040329001820 |
| Provider Name | Sandeep Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992905095 PECOS PAC ID: 1759554991 Enrollment ID: I20170418002024 |
| Provider Name | Gautam Rao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962934547 PECOS PAC ID: 7810264355 Enrollment ID: I20231005003624 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
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