| New Viva Weight Loss Md Pllc | |
|
2390 W Ray Rd Ste 1 Chandler AZ 85224-3570 | |
| (480) 331-4316 | |
| (480) 571-3613 |
| Full Name | New Viva Weight Loss Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2390 W Ray Rd Ste 1, Chandler, Arizona |
| Authorized Official Name and Position | Arpita Surkunte (MANAGER) |
| Authorized Official Contact | 4803314316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Viva Weight Loss Md Pllc 2390 W Ray Rd Ste 1 Chandler AZ 85224-3570 Ph: (480) 331-4316 | New Viva Weight Loss Md Pllc 2390 W Ray Rd Ste 1 Chandler AZ 85224-3570 Ph: (480) 331-4316 |
| NPI Number | 1689219057 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 9133558380 |
|---|---|
| Medicare Enrollment ID | O20200409000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689219057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| Provider Name | Arpita Surkunte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548447717 PECOS PAC ID: 5092857607 Enrollment ID: I20100120000529 |
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