Nanni B. Bachenheimer Md Pllc | |
9630 E Shea Blvd Scottsdale AZ 85260-6267 | |
(480) 747-3009 | |
(480) 296-7665 |
Full Name | Nanni B. Bachenheimer Md Pllc |
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Speciality | Internal Medicine |
Location | 9630 E Shea Blvd, Scottsdale, Arizona |
Authorized Official Name and Position | Nanni B Bachenheimer (OWNER) |
Authorized Official Contact | 4807473009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nanni B. Bachenheimer Md Pllc Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 289-3467 | Nanni B. Bachenheimer Md Pllc 9630 E Shea Blvd Scottsdale AZ 85260-6267 Ph: (480) 747-3009 |
NPI Number | 1013197227 |
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Provider Enumeration Date | 11/06/2007 |
Last Update Date | 04/02/2024 |
Medicare PECOS PAC ID | 6103908405 |
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Medicare Enrollment ID | O20080125000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013197227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 33906 (Arizona) | Primary |
Provider Name | Nanni B Bachenheimer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578562807 PECOS PAC ID: 2769476191 Enrollment ID: I20050414001088 |
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