| East Valley Diabetes & Endocrinology Plc | |
|
4100 S Lindsay Rd Ste 130 Gilbert AZ 85297-1506 | |
| (480) 782-9531 | |
| (480) 782-9530 |
| Full Name | East Valley Diabetes & Endocrinology Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 S Lindsay Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Devendra G Wadwekar (PHYSICIAN OWNER) |
| Authorized Official Contact | 4807829531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Diabetes & Endocrinology Plc 4100 S Lindsay Rd Ste 130 Gilbert AZ 85297-1506 Ph: (480) 782-9531 | East Valley Diabetes & Endocrinology Plc 4100 S Lindsay Rd Ste 130 Gilbert AZ 85297-1506 Ph: (480) 782-9531 |
| NPI Number | 1871887828 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 12/15/2015 |
| Medicare PECOS PAC ID | 1153593579 |
|---|---|
| Medicare Enrollment ID | O20111007000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871887828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 44679 (Arizona) | Primary |
| Provider Name | Kristin L Hanson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659379378 PECOS PAC ID: 6901849629 Enrollment ID: I20050603000584 |
| Provider Name | Kristina A Blohm |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750339214 PECOS PAC ID: 6305871476 Enrollment ID: I20050928000736 |
| Provider Name | Devendra G Wadwekar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174504534 PECOS PAC ID: 9830113034 Enrollment ID: I20111011000069 |
| Provider Name | Saudamini Wadwekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962613471 PECOS PAC ID: 6204921372 Enrollment ID: I20120328000899 |
| Provider Name | Jena M Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669857389 PECOS PAC ID: 3870801251 Enrollment ID: I20151005001868 |
| Provider Name | Allyson Booth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598279523 PECOS PAC ID: 2264793843 Enrollment ID: I20180221002942 |
| Provider Name | Abhilasha Singh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851741342 PECOS PAC ID: 6709177587 Enrollment ID: I20210719003234 |
| Provider Name | Irene Gek-hia Irby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477792604 PECOS PAC ID: 4789812579 Enrollment ID: I20220303001447 |
| Provider Name | Deepika Arvind Panday |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659829182 PECOS PAC ID: 1658650536 Enrollment ID: I20220613000700 |
| Provider Name | Julia Nyawira Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073272993 PECOS PAC ID: 0244604981 Enrollment ID: I20230321001792 |
| Provider Name | Jenna Sturgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023348893 PECOS PAC ID: 4587822374 Enrollment ID: I20230811001312 |
| Provider Name | Reena Dave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689099004 PECOS PAC ID: 4385876804 Enrollment ID: I20231012002285 |
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