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 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 06/12/2018 |
Medicare PECOS PAC ID | 6406111947 |
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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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