| Ocotillo Primary Care Llc | |
|
2860 S Alma School Rd Ste 33 Chandler AZ 85286-4395 | |
| (480) 581-1200 | |
| (480) 581-1300 |
| Full Name | Ocotillo Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2860 S Alma School Rd Ste 33, Chandler, Arizona |
| Authorized Official Name and Position | Huma Rashid (MANAGER) |
| Authorized Official Contact | 4805811200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocotillo Primary Care Llc 2040 S Alma School Rd Ste 1-397 Chandler AZ 85286-7075 Ph: () - | Ocotillo Primary Care Llc 2860 S Alma School Rd Ste 33 Chandler AZ 85286-4395 Ph: (480) 581-1200 |
| NPI Number | 1508407321 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 03/19/2020 |
| Medicare PECOS PAC ID | 2961835236 |
|---|---|
| Medicare Enrollment ID | O20191129000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508407321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Huma Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326371733 PECOS PAC ID: 8426297193 Enrollment ID: I20130611000104 |
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