| Excel Primary Care Pllc | |
|
3303 S Lindsay Rd #115 Gilbert AZ 85296-6503 | |
| (480) 507-0604 | |
| (480) 507-0592 |
| Full Name | Excel Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3303 S Lindsay Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Meena Venugopal (OWNER) |
| Authorized Official Contact | 4805070604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Primary Care Pllc 3303 S Lindsay Rd #115 Gilbert AZ 85296-6503 Ph: (480) 507-0604 | Excel Primary Care Pllc 3303 S Lindsay Rd #115 Gilbert AZ 85296-6503 Ph: (480) 507-0604 |
| NPI Number | 1053321315 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 1254339617 |
|---|---|
| Medicare Enrollment ID | O20061118000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053321315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30137 (Arizona) | Primary |
| Provider Name | Meena Venugopal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588674832 PECOS PAC ID: 9931154721 Enrollment ID: I20050315000247 |
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