| Mandeep K Rai Plc | |
|
18701 N 67th Ave Glendale AZ 85308-7100 | |
| (623) 561-1000 | |
| Not Available |
| Full Name | Mandeep K Rai Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18701 N 67th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Mandeep K Rai (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6022202316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandeep K Rai Plc 4531 N 16th St Ste 114 Phoenix AZ 85016-5344 Ph: (602) 274-0078 | Mandeep K Rai Plc 18701 N 67th Ave Glendale AZ 85308-7100 Ph: (623) 561-1000 |
| NPI Number | 1962574608 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 03/06/2019 |
| Medicare PECOS PAC ID | 2163450487 |
|---|---|
| Medicare Enrollment ID | O20050728000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962574608 | NPI | - | NPPES |
| 529206 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 27036 (Arizona) | Primary |
| Provider Name | Mandeep K Rai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861681231 PECOS PAC ID: 0143258467 Enrollment ID: I20050728000775 |
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