| Performance Medicine Institute | |
|
3330 N 2nd St Ste 401 Phoenix AZ 85012-2371 | |
| (602) 606-8949 | |
| Not Available |
| Full Name | Performance Medicine Institute |
|---|---|
| Speciality | Family Medicine |
| Location | 3330 N 2nd St Ste 401, Phoenix, Arizona |
| Authorized Official Name and Position | Christopher Mendias (MEMBER) |
| Authorized Official Contact | 6026068949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Medicine Institute Po Box 2253 Phoenix AZ 85002-2253 Ph: () - | Performance Medicine Institute 3330 N 2nd St Ste 401 Phoenix AZ 85012-2371 Ph: (602) 606-8949 |
| NPI Number | 1255054110 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 8123496668 |
|---|---|
| Medicare Enrollment ID | O20221115000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255054110 | NPI | - | NPPES |
| 151092 | Medicaid | AZ |
| Provider Name | Tariq Awan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467403675 PECOS PAC ID: 3870548027 Enrollment ID: I20230227002083 |
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