| Parkview Internal Medicine | |
|
12647 W Smokey Dr Ste 119 Surprise AZ 85378 | |
| (623) 544-1700 | |
| (623) 544-7544 |
| Full Name | Parkview Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 12647 W Smokey Dr Ste 119, Surprise, Arizona |
| Authorized Official Name and Position | Adam Syed (MANAGER) |
| Authorized Official Contact | 8183198865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Internal Medicine Po Box 8720 Surprise AZ 85374-0128 Ph: (623) 544-1700 | Parkview Internal Medicine 12647 W Smokey Dr Ste 119 Surprise AZ 85378 Ph: (623) 544-1700 |
| NPI Number | 1457515579 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 2062585987 |
|---|---|
| Medicare Enrollment ID | O20080724000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457515579 | NPI | - | NPPES |
| 1609834928 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25819 (Arizona) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 25819 (Arizona) | Secondary |
| Provider Name | Madhuri Dhupati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609834928 PECOS PAC ID: 8628095833 Enrollment ID: I20051027000458 |
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