| Icare Internal Medicine | |
|
8765 W Kelton Ln Ste 110 Peoria AZ 85382-5008 | |
| (623) 670-7772 | |
| (623) 444-2361 |
| Full Name | Icare Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 8765 W Kelton Ln Ste 110, Peoria, Arizona |
| Authorized Official Name and Position | Mohammad I Jamil (OWNER / PHYSICIAN) |
| Authorized Official Contact | 6236707772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Internal Medicine 8765 W Kelton Ln Ste 110 Peoria AZ 85382-5008 Ph: (623) 670-7772 | Icare Internal Medicine 8765 W Kelton Ln Ste 110 Peoria AZ 85382-5008 Ph: (623) 670-7772 |
| NPI Number | 1235447848 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 7012106149 |
|---|---|
| Medicare Enrollment ID | O20110105000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235447848 | NPI | - | NPPES |
| 554820 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31759 (Arizona) | Primary |
| Provider Name | Mohammad Irfan Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255419206 PECOS PAC ID: 7012991334 Enrollment ID: I20040615000935 |
| Provider Name | Ashwini Ammunje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891088563 PECOS PAC ID: 5698997443 Enrollment ID: I20141111000020 |
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