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 |
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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 |
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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 |
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Provider Enumeration Date | 12/10/2012 |
Last Update Date | 01/16/2024 |
Medicare PECOS PAC ID | 8628215795 |
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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 |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568408615 PECOS PAC ID: 9032000823 Enrollment ID: I20040322001658 |
Provider Name | Philip Sweet |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184788895 PECOS PAC ID: 5799827747 Enrollment ID: I20100128000777 |
Provider Name | Helene Miller |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477581957 PECOS PAC ID: 4082613062 Enrollment ID: I20101112000179 |
Provider Name | Philip Sinato |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053518621 PECOS PAC ID: 9436318821 Enrollment ID: I20160826000847 |
Provider Name | Ibrahim M Sablaban |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831553528 PECOS PAC ID: 6800188012 Enrollment ID: I20200413002431 |
Provider Name | Aqeel Khan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629046735 PECOS PAC ID: 3678535457 Enrollment ID: I20221229001135 |
Provider Name | Venkateswar Nemali |
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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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