Mdsl Health Pllc | |
11811 N Tatum Blvd Ste 3031 Phoenix AZ 85028-1621 | |
(602) 369-4906 | |
Not Available |
Full Name | Mdsl Health Pllc |
---|---|
Speciality | Internal Medicine |
Location | 11811 N Tatum Blvd Ste 3031, Phoenix, Arizona |
Authorized Official Name and Position | Sendhil Krishnan (PRESIDENT) |
Authorized Official Contact | 8133688814 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mdsl Health Pllc 11811 N Tatum Blvd Ste 3031 Phoenix AZ 85028-1621 Ph: (026) 805-9400 | Mdsl Health Pllc 11811 N Tatum Blvd Ste 3031 Phoenix AZ 85028-1621 Ph: (602) 369-4906 |
NPI Number | 1205522265 |
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Provider Enumeration Date | 04/13/2023 |
Last Update Date | 04/13/2023 |
Medicare PECOS PAC ID | 3476919572 |
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Medicare Enrollment ID | O20230516000846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205522265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sendhil Kumar Krishnan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376693325 PECOS PAC ID: 4082616487 Enrollment ID: I20230307003256 |
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