Doctor's At Home | |
1825 E Northern Ave Ste 105 Phoenix AZ 85020-3953 | |
(602) 469-9466 | |
(480) 393-8555 |
Full Name | Doctor's At Home |
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Speciality | General Practice |
Location | 1825 E Northern Ave Ste 105, Phoenix, Arizona |
Authorized Official Name and Position | Nilesh Patel (CHIEF MEDICAL DIRECTOR) |
Authorized Official Contact | 6024699466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Doctor's At Home 1825 E Northern Ave Ste 105 Phoenix AZ 85020-3953 Ph: (602) 469-9466 | Doctor's At Home 1825 E Northern Ave Ste 105 Phoenix AZ 85020-3953 Ph: (602) 469-9466 |
NPI Number | 1508405077 |
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Provider Enumeration Date | 01/02/2020 |
Last Update Date | 10/11/2022 |
Medicare PECOS PAC ID | 4880006733 |
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Medicare Enrollment ID | O20201217000353 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508405077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Nilesh T Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699778167 PECOS PAC ID: 7012908676 Enrollment ID: I20040521000480 |
Provider Name | Joseph J Franzetti |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639246341 PECOS PAC ID: 5799720140 Enrollment ID: I20050627000051 |
Provider Name | Joycelyn Connet |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225377898 PECOS PAC ID: 3870732712 Enrollment ID: I20130625000533 |
Provider Name | Keqiang Shen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154713048 PECOS PAC ID: 4082933742 Enrollment ID: I20150430000252 |
Provider Name | Nelson Bryant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215584818 PECOS PAC ID: 0941695597 Enrollment ID: I20220316004003 |
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