| Attaya Medical Pllc | |
|
2400 S Avenue A Yuma AZ 85364-7127 | |
| (928) 317-9100 | |
| (928) 317-9300 |
| Full Name | Attaya Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 S Avenue A, Yuma, Arizona |
| Authorized Official Name and Position | Hayder K Abdella (OWNER) |
| Authorized Official Contact | 9283179100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Attaya Medical Pllc Po Box 4788 Yuma AZ 85366-2442 Ph: (928) 317-9100 | Attaya Medical Pllc 2400 S Avenue A Yuma AZ 85364-7127 Ph: (928) 317-9100 |
| NPI Number | 1194020057 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 10/19/2011 |
| Medicare PECOS PAC ID | 5395926596 |
|---|---|
| Medicare Enrollment ID | O20110222000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194020057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28692 (Arizona) | Primary |
| Provider Name | Hayder K Abdella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619024080 PECOS PAC ID: 3577664556 Enrollment ID: I20070720000180 |
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