| Arrowhead Internal Medicine | |
|
18275 N 59th Ave Ste 138 Glendale AZ 85308-1253 | |
| (602) 564-0078 | |
| (602) 564-1154 |
| Full Name | Arrowhead Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 18275 N 59th Ave Ste 138, Glendale, Arizona |
| Authorized Official Name and Position | Janira Pagan (OFFICE MANAGER) |
| Authorized Official Contact | 6025640078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arrowhead Internal Medicine 18275 N 59th Ave Suite 138 Glendale AZ 85308-1260 Ph: (602) 564-0078 | Arrowhead Internal Medicine 18275 N 59th Ave Ste 138 Glendale AZ 85308-1253 Ph: (602) 564-0078 |
| NPI Number | 1598782369 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 01/04/2013 |
| Medicare PECOS PAC ID | 6608865894 |
|---|---|
| Medicare Enrollment ID | O20040511001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598782369 | NPI | - | NPPES |
| 382250 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 23581 (Arizona) | Primary |
| Provider Name | Michael Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639170293 PECOS PAC ID: 5092705004 Enrollment ID: I20040618001331 |
| Provider Name | Natasha Guha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750735114 PECOS PAC ID: 1052692027 Enrollment ID: I20170105001544 |
| Provider Name | Elizabeth S Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447798590 PECOS PAC ID: 8426317090 Enrollment ID: I20180108000388 |
| Provider Name | Serena Dawn Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508366402 PECOS PAC ID: 6800141821 Enrollment ID: I20180615000804 |
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