Asda Internal Medicine Llc | |
9139 W Thunderbird Rd Ste 275 Peoria AZ 85381-4922 | |
(623) 900-5181 | |
(623) 900-5290 |
Full Name | Asda Internal Medicine Llc |
---|---|
Speciality | Internal Medicine |
Location | 9139 W Thunderbird Rd Ste 275, Peoria, Arizona |
Authorized Official Name and Position | Avinashi Somasundaram Arun Kumar (INTERNIST) |
Authorized Official Contact | 6024029071 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Asda Internal Medicine Llc 27119 N 64th Ln Phoenix AZ 85083-7423 Ph: (602) 402-9071 | Asda Internal Medicine Llc 9139 W Thunderbird Rd Ste 275 Peoria AZ 85381-4922 Ph: (623) 900-5181 |
NPI Number | 1760249494 |
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Provider Enumeration Date | 02/29/2024 |
Last Update Date | 09/02/2024 |
Medicare PECOS PAC ID | 6608218987 |
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Medicare Enrollment ID | O20240531002925 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760249494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Avinashi Arun Kumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326375999 PECOS PAC ID: 3072705185 Enrollment ID: I20111102000666 |
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