| Freedom Health Vascular Llc | |
|
6036 N 19th Ave Ste 204 Phoenix AZ 85015-2104 | |
| (480) 616-0356 | |
| (480) 616-0603 |
| Full Name | Freedom Health Vascular Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6036 N 19th Ave Ste 204, Phoenix, Arizona |
| Authorized Official Name and Position | Andrew Doyle (OPERATIONS MANAGER) |
| Authorized Official Contact | 6027405375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Health Vascular Llc Dept#880390 P.o Box 29650 Phoenix AZ 85038 Ph: (480) 626-1746 | Freedom Health Vascular Llc 6036 N 19th Ave Ste 204 Phoenix AZ 85015-2104 Ph: (480) 616-0356 |
| NPI Number | 1740742089 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 9739419532 |
|---|---|
| Medicare Enrollment ID | O20190920001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740742089 | NPI | - | NPPES |
| 598527 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Govind Acharya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487716692 PECOS PAC ID: 0840275574 Enrollment ID: I20040621000451 |
| Provider Name | Gregory P Titus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295938553 PECOS PAC ID: 3779659461 Enrollment ID: I20080917000761 |
| Provider Name | Sandeep Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992905095 PECOS PAC ID: 1759554991 Enrollment ID: I20170418002024 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
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