| Neena K Uppal Md Pc | |
|
14674 W Mountain View Blvd Ste 200 Surprise AZ 85374 | |
| (623) 544-6860 | |
| (623) 544-6861 |
| Full Name | Neena K Uppal Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14674 W Mountain View Blvd Ste 200, Surprise, Arizona |
| Authorized Official Name and Position | Neena K Uppal (OWNER) |
| Authorized Official Contact | 6235446860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neena K Uppal Md Pc 14674 W Mountain View Blvd Ste 200 Surprise AZ 85374-2708 Ph: (623) 544-6860 | Neena K Uppal Md Pc 14674 W Mountain View Blvd Ste 200 Surprise AZ 85374 Ph: (623) 544-6860 |
| NPI Number | 1790973006 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 06/12/2018 |
| Medicare PECOS PAC ID | 6406111947 |
|---|---|
| Medicare Enrollment ID | O20180604000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790973006 | NPI | - | NPPES |
| 423533 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25660 (Arizona) | Primary |
| Provider Name | Neena K Uppal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124133020 PECOS PAC ID: 5799703203 Enrollment ID: I20051103000340 |
| Provider Name | Deayrie B Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114425386 PECOS PAC ID: 4486918059 Enrollment ID: I20180507002033 |
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