| Oasis House Call Llc | |
|
6965 W Aire Libre Ave Peoria AZ 85382-3987 | |
| (815) 953-6422 | |
| Not Available |
| Full Name | Oasis House Call Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6965 W Aire Libre Ave, Peoria, Arizona |
| Authorized Official Name and Position | Rahul Deepanker (PHYSICIAN) |
| Authorized Official Contact | 8159536422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis House Call Llc 8550 S Harlem Ave Ste G Bridgeview IL 60455-1775 Ph: () - | Oasis House Call Llc 6965 W Aire Libre Ave Peoria AZ 85382-3987 Ph: (815) 953-6422 |
| NPI Number | 1730899584 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 0446604300 |
|---|---|
| Medicare Enrollment ID | O20230926002079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730899584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rahul Deepankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376503045 PECOS PAC ID: 6406760271 Enrollment ID: I20230926002245 |
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