Bendel Clinic | |
6553 E Baywood Ave Suite 203 Mesa AZ 85206-1754 | |
(480) 218-7800 | |
(480) 908-5783 |
Full Name | Bendel Clinic |
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Speciality | Internal Medicine |
Location | 6553 E Baywood Ave, Mesa, Arizona |
Authorized Official Name and Position | Chuba B Ononye (OWNER & PHYSICIAN) |
Authorized Official Contact | 4802187800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bendel Clinic 6553 E Baywood Ave Suite 203 Mesa AZ 85206-1754 Ph: (480) 218-7800 | Bendel Clinic 6553 E Baywood Ave Suite 203 Mesa AZ 85206-1754 Ph: (480) 218-7800 |
NPI Number | 1215072384 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 10/10/2011 |
Medicare PECOS PAC ID | 8729259783 |
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Medicare Enrollment ID | O20110922000583 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215072384 | NPI | - | NPPES |
330251 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23372 (Arizona) | Primary |
Provider Name | Chuba B Ononye |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629026018 PECOS PAC ID: 2668432790 Enrollment ID: I20041013001009 |
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