| Hoshi Infectious Disease Llc | |
|
18701 N 67th Ave Glendale AZ 85308-7100 | |
| (623) 561-1000 | |
| Not Available |
| Full Name | Hoshi Infectious Disease Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18701 N 67th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Sami Hoshi (MD) |
| Authorized Official Contact | 4809851093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoshi Infectious Disease Llc Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 985-1093 | Hoshi Infectious Disease Llc 18701 N 67th Ave Glendale AZ 85308-7100 Ph: (623) 561-1000 |
| NPI Number | 1477143923 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 11/03/2021 |
| Medicare PECOS PAC ID | 8729493846 |
|---|---|
| Medicare Enrollment ID | O20210223000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477143923 | NPI | - | NPPES |
| 309785 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Nichole Brianna Wardle-sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114416989 PECOS PAC ID: 6305271065 Enrollment ID: I20200127002239 |
| Provider Name | Sami Hoshi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699187807 PECOS PAC ID: 8921364266 Enrollment ID: I20210223002447 |
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