| Chandler Primary Care Plc | |
|
5950 S Cooper Rd Ste 4 Chandler AZ 85249-2221 | |
| (480) 895-3777 | |
| (480) 895-3731 |
| Full Name | Chandler Primary Care Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5950 S Cooper Rd Ste 4, Chandler, Arizona |
| Authorized Official Name and Position | Rama Devineni (OWNER) |
| Authorized Official Contact | 4803217156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler Primary Care Plc 5950 S Cooper Rd Ste 4 Chandler AZ 85249-2221 Ph: (480) 895-3777 | Chandler Primary Care Plc 5950 S Cooper Rd Ste 4 Chandler AZ 85249-2221 Ph: (480) 895-3777 |
| NPI Number | 1467831982 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Medicare PECOS PAC ID | 4688096779 |
|---|---|
| Medicare Enrollment ID | O20200618000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467831982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29426 (Arizona) | Primary |
| Provider Name | Rama J Devineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750312484 PECOS PAC ID: 3173562386 Enrollment ID: I20050427000889 |
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