| Myndfull Care Management Arizona Pc | |
|
2415 East Camelback Rd Suite 700 Phoenix AZ 85016 | |
| (855) 839-8878 | |
| Not Available |
| Full Name | Myndfull Care Management Arizona Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2415 East Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Teja Singh (CEO) |
| Authorized Official Contact | 8558398878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myndfull Care Management Arizona Pc 9436 W Lake Mead Blvd Suite 5 Pmb 1113 Las Vegas NV 89134 Ph: () - | Myndfull Care Management Arizona Pc 2415 East Camelback Rd Suite 700 Phoenix AZ 85016 Ph: (855) 839-8878 |
| NPI Number | 1861260713 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 9931552452 |
|---|---|
| Medicare Enrollment ID | O20240131001801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861260713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Teja Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875606 PECOS PAC ID: 5193732030 Enrollment ID: I20240307002199 |
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