| Patel Medical Clinic, Pllc | |
|
1620 E Wilcox Dr Sierra Vista AZ 85635-2778 | |
| (520) 459-0362 | |
| (520) 458-1585 |
| Full Name | Patel Medical Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1620 E Wilcox Dr, Sierra Vista, Arizona |
| Authorized Official Name and Position | Santsaran Chandubhai Patel (PRESIDENT/CEO) |
| Authorized Official Contact | 5204590362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patel Medical Clinic, Pllc 1620 E Wilcox Dr Sierra Vista AZ 85635-2778 Ph: (520) 459-0362 | Patel Medical Clinic, Pllc 1620 E Wilcox Dr Sierra Vista AZ 85635-2778 Ph: (520) 459-0362 |
| NPI Number | 1720303563 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 07/26/2010 |
| Medicare PECOS PAC ID | 6103959069 |
|---|---|
| Medicare Enrollment ID | O20100729000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720303563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23373 (Arizona) | Primary |
| Provider Name | Santsaran C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316960016 PECOS PAC ID: 4789612698 Enrollment ID: I20050802000240 |
| Provider Name | April C Going |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700363991 PECOS PAC ID: 7416206040 Enrollment ID: I20180815002119 |
| Provider Name | Jesus M Arballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887133 PECOS PAC ID: 8820334683 Enrollment ID: I20190115003028 |
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