Medipro Solutions Pllc | |
13687 N 151st Ln Surprise AZ 85379-9114 | |
(623) 999-5543 | |
Not Available |
Full Name | Medipro Solutions Pllc |
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Speciality | Clinic/Center |
Location | 13687 N 151st Ln, Surprise, Arizona |
Authorized Official Name and Position | Mujtaba Alsofi (OWNER) |
Authorized Official Contact | 6239995543 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Medipro Solutions Pllc 13687 N 151st Ln Surprise AZ 85379-9114 Ph: (623) 999-5543 | Medipro Solutions Pllc 13687 N 151st Ln Surprise AZ 85379-9114 Ph: (623) 999-5543 |
NPI Number | 1548035918 |
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Provider Enumeration Date | 11/16/2023 |
Last Update Date | 11/16/2023 |
Medicare PECOS PAC ID | 5799138350 |
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Medicare Enrollment ID | O20240130003331 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548035918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Donni T Fleischaker |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1619074358 PECOS PAC ID: 9931574241 Enrollment ID: I20230418001835 |
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