| Mgpp Medical Pllc | |
|
1720 E Boston St Ste 104 Gilbert AZ 85295-6227 | |
| (480) 745-3705 | |
| (480) 745-3709 |
| Full Name | Mgpp Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1720 E Boston St Ste 104, Gilbert, Arizona |
| Authorized Official Name and Position | Hope Ijaola (PHYSICIAN /OWNER) |
| Authorized Official Contact | 4808629197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgpp Medical Pllc 1720 E Boston St Ste 104 Gilbert AZ 85295-6227 Ph: (480) 745-3705 | Mgpp Medical Pllc 1720 E Boston St Ste 104 Gilbert AZ 85295-6227 Ph: (480) 745-3705 |
| NPI Number | 1235809583 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 6800289331 |
|---|---|
| Medicare Enrollment ID | O20220207000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235809583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hope M Ijaola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518120500 PECOS PAC ID: 3375619950 Enrollment ID: I20080904000681 |
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