| Infectious Disease Care, Plc | |
|
4410 W Union Hills Dr Suite # 7-280 Glendale AZ 85308-1660 | |
| (623) 974-6611 | |
| (623) 974-9434 |
| Full Name | Infectious Disease Care, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4410 W Union Hills Dr, Glendale, Arizona |
| Authorized Official Name and Position | Paul M Shanahan (BILLING MANAGER) |
| Authorized Official Contact | 6239746611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Care, Plc 4410 W Union Hills Dr Suite # 7-280 Glendale AZ 85308-1660 Ph: (623) 974-6611 | Infectious Disease Care, Plc 4410 W Union Hills Dr Suite # 7-280 Glendale AZ 85308-1660 Ph: (623) 974-6611 |
| NPI Number | 1891831228 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/21/2014 |
| Medicare PECOS PAC ID | 2961480132 |
|---|---|
| Medicare Enrollment ID | O20040713000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891831228 | NPI | - | NPPES |
| 1184706384 | Other | AZ | MEENAL PATEL, M.D. - NPI |
| 906620 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Meenal V Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184706384 PECOS PAC ID: 6901884188 Enrollment ID: I20040715001133 |
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