| P&g Family Practice Pllc | |
|
4909 S Alma School Rd Ste 4 Chandler AZ 85248-5628 | |
| (480) 883-3011 | |
| (480) 802-3874 |
| Full Name | P&g Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4909 S Alma School Rd Ste 4, Chandler, Arizona |
| Authorized Official Name and Position | Chetan S Patel (PARTNER) |
| Authorized Official Contact | 4808833011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P&g Family Practice Pllc 4909 S Alma School Rd Ste 4 Chandler AZ 85248-5628 Ph: (480) 883-3011 | P&g Family Practice Pllc 4909 S Alma School Rd Ste 4 Chandler AZ 85248-5628 Ph: (480) 883-3011 |
| NPI Number | 1477222669 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 02/28/2022 |
| Medicare PECOS PAC ID | 8022403310 |
|---|---|
| Medicare Enrollment ID | O20220323002714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477222669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tarandeep Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053671529 PECOS PAC ID: 3274834379 Enrollment ID: I20151215000671 |
| Provider Name | Chetan S Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053775635 PECOS PAC ID: 6709175870 Enrollment ID: I20160512000525 |
| Provider Name | Leann Vanduyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235591546 PECOS PAC ID: 9537458237 Enrollment ID: I20160519001600 |
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