| Stellar Medical Group | |
|
9139 W Thunderbird Rd Ste 275 Peoria AZ 85381-4922 | |
| (623) 900-5181 | |
| (623) 900-5290 |
| Full Name | Stellar Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 9139 W Thunderbird Rd Ste 275, Peoria, Arizona |
| Authorized Official Name and Position | Ashwini N Ammunje (INTERNIST) |
| Authorized Official Contact | 6239005181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Medical Group 9139 W Thunderbird Rd Ste 275 Peoria AZ 85381-4922 Ph: (623) 900-5181 | Stellar Medical Group 9139 W Thunderbird Rd Ste 275 Peoria AZ 85381-4922 Ph: (623) 900-5181 |
| NPI Number | 1568224632 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 05/15/2024 |
| Medicare PECOS PAC ID | 6507202645 |
|---|---|
| Medicare Enrollment ID | O20240311003424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568224632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashwini Ammunje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891088563 PECOS PAC ID: 5698997443 Enrollment ID: I20141111000020 |
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