| Marepallys Pllc | |
|
4626 E Shea Blvd . C-280 Phoenix AZ 85028-3071 | |
| (602) 374-8030 | |
| (602) 374-7728 |
| Full Name | Marepallys Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4626 E Shea Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Sapna Marepally (OWNER) |
| Authorized Official Contact | 6023748030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marepallys Pllc 4626 E Shea Blvd . C-280 Phoenix AZ 85028-3071 Ph: (602) 374-8030 | Marepallys Pllc 4626 E Shea Blvd . C-280 Phoenix AZ 85028-3071 Ph: (602) 374-8030 |
| NPI Number | 1154657682 |
|---|---|
| Provider Enumeration Date | 10/18/2009 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154657682 | NPI | - | NPPES |
| 469803 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37273 (Arizona) | Primary |
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