Care And Cure Az | |
16601 N 40th St Ste 229 (old 216) Phoenix AZ 85032 | |
(602) 667-4657 | |
(888) 842-7006 |
Full Name | Care And Cure Az |
---|---|
Speciality | Internal Medicine |
Location | 16601 N 40th St Ste 229 (old 216), Phoenix, Arizona |
Authorized Official Name and Position | Sandhya Venugopal (OWNER) |
Authorized Official Contact | 5204448854 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Care And Cure Az 3677 E Adobe Dr Phoenix AZ 85050-8333 Ph: () - | Care And Cure Az 16601 N 40th St Ste 229 (old 216) Phoenix AZ 85032 Ph: (602) 667-4657 |
NPI Number | 1639418247 |
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Provider Enumeration Date | 02/04/2013 |
Last Update Date | 06/02/2021 |
Medicare PECOS PAC ID | 7416227699 |
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Medicare Enrollment ID | O20170720001640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639418247 | NPI | - | NPPES |
305232 | Medicaid | AZ | |
Z203329 | Other | AZ | PTAN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Sandhya Venugopal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730115338 PECOS PAC ID: 7113936634 Enrollment ID: I20060411000780 |
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