| Oro Valley Medicine Llc | |
|
1171 E Rancho Vistoso Blvd Ste 143 Oro Valley AZ 85755-9101 | |
| (520) 399-8094 | |
| (888) 416-1743 |
| Full Name | Oro Valley Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1171 E Rancho Vistoso Blvd Ste 143, Oro Valley, Arizona |
| Authorized Official Name and Position | Akash Aharad Taggarse (OWNER) |
| Authorized Official Contact | 5204298523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oro Valley Medicine Llc Po Box 43160 Tucson AZ 85733-3160 Ph: (520) 722-3777 | Oro Valley Medicine Llc 1171 E Rancho Vistoso Blvd Ste 143 Oro Valley AZ 85755-9101 Ph: (520) 399-8094 |
| NPI Number | 1205930500 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 02/22/2021 |
| Medicare PECOS PAC ID | 3173575024 |
|---|---|
| Medicare Enrollment ID | O20050218000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205930500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Akash S Taggarse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811063555 PECOS PAC ID: 9537055694 Enrollment ID: I20040614000474 |
| Provider Name | John S. Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336137538 PECOS PAC ID: 3274432869 Enrollment ID: I20130514000579 |
| Provider Name | Natalija De Retana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447768130 PECOS PAC ID: 4486916012 Enrollment ID: I20180320001291 |
| Provider Name | Elizabeth N Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770133282 PECOS PAC ID: 2860613478 Enrollment ID: I20191210001798 |
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