| Infectious Disease Associates Llc | |
|
19841 N 27th Ave Suite 200 Phoenix AZ 85027-4003 | |
| (602) 206-0403 | |
| (623) 362-2954 |
| Full Name | Infectious Disease Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19841 N 27th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Ngozi Adamma Osondu (PARTNER) |
| Authorized Official Contact | 6022060403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Llc Po Box 5921 Peoria AZ 85385-5921 Ph: (602) 206-0403 | Infectious Disease Associates Llc 19841 N 27th Ave Suite 200 Phoenix AZ 85027-4003 Ph: (602) 206-0403 |
| NPI Number | 1871506543 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 05/12/2008 |
| Medicare PECOS PAC ID | 6800883026 |
|---|---|
| Medicare Enrollment ID | O20040429000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871506543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ngozi A Osondu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598778177 PECOS PAC ID: 3476540519 Enrollment ID: I20040501000180 |
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