| |
13695 N 75th Ave Peoria AZ 85381-6098 | |
(602) 439-1101 | |
(602) 789-1653 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 13695 N 75th Ave, Peoria, Arizona |
Authorized Official Name and Position | Vasudha Narra (OWNER) |
Authorized Official Contact | 6024391101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
13695 N 75th Ave Peoria AZ 85381-6098 Ph: (602) 439-1101 | 13695 N 75th Ave Peoria AZ 85381-6098 Ph: (602) 439-1101 |
NPI Number | 1043645765 |
---|---|
Provider Enumeration Date | 09/12/2013 |
Last Update Date | 11/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043645765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | D07658 (Arizona) | Primary |
Elite Infusions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10252 W Villa Chula, Peoria, AZ 85383 Phone: 623-210-5041 | |
Banner Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-561-4532 | |
Anesthesia Services For Gi Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14155 N 83rd Ave Ste 122, Peoria, AZ 85381 Phone: 623-694-1445 |