| Oxford Integrated Health Solutions, Pllc | |
|
14674 W Mountain View Blvd Ste 100 Surprise AZ 85374-2707 | |
| (602) 510-7142 | |
| Not Available |
| Full Name | Oxford Integrated Health Solutions, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14674 W Mountain View Blvd Ste 100, Surprise, Arizona |
| Authorized Official Name and Position | Ravinder Majhail (CFO/COO) |
| Authorized Official Contact | 6025107142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxford Integrated Health Solutions, Pllc 14674 W Mountain View Blvd Suite 200 Surprise AZ 85374-2706 Ph: (602) 510-7142 | Oxford Integrated Health Solutions, Pllc 14674 W Mountain View Blvd Ste 100 Surprise AZ 85374-2707 Ph: (602) 510-7142 |
| NPI Number | 1003151580 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 8628215795 |
|---|---|
| Medicare Enrollment ID | O20130508000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003151580 | NPI | - | NPPES |
| PENDING | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ronald H Bradley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568408615 PECOS PAC ID: 9032000823 Enrollment ID: I20040322001658 |
| Provider Name | Philip Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184788895 PECOS PAC ID: 5799827747 Enrollment ID: I20100128000777 |
| Provider Name | Helene Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477581957 PECOS PAC ID: 4082613062 Enrollment ID: I20101112000179 |
| Provider Name | Philip Sinato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053518621 PECOS PAC ID: 9436318821 Enrollment ID: I20160826000847 |
| Provider Name | Ibrahim M Sablaban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831553528 PECOS PAC ID: 6800188012 Enrollment ID: I20200413002431 |
| Provider Name | Aqeel Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046735 PECOS PAC ID: 3678535457 Enrollment ID: I20221229001135 |
| Provider Name | Venkateswar Nemali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952506990 PECOS PAC ID: 5294181079 Enrollment ID: I20231031001140 |
| Provider Name | Richard Granese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437175189 PECOS PAC ID: 6002704384 Enrollment ID: I20231103000348 |
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