| Peak Medical Pllc | |
|
1930 E Thomas Rd Phoenix AZ 85016-7711 | |
| (480) 821-9339 | |
| (480) 821-9555 |
| Full Name | Peak Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1930 E Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Omair Hasan (PRESIDENT) |
| Authorized Official Contact | 4802976108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Medical Pllc 8924 E Pinnacle Peak Rd Ste G5-535 Scottsdale AZ 85255-3618 Ph: (480) 821-9339 | Peak Medical Pllc 1930 E Thomas Rd Phoenix AZ 85016-7711 Ph: (480) 821-9339 |
| NPI Number | 1790301547 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 12/30/2020 |
| Medicare PECOS PAC ID | 3274959663 |
|---|---|
| Medicare Enrollment ID | O20200817000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790301547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Omair Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740420041 PECOS PAC ID: 8628242229 Enrollment ID: I20140730002791 |
| Provider Name | Binu Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012348 PECOS PAC ID: 1951685346 Enrollment ID: I20170302002217 |
| Provider Name | Neuritiza Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427611367 PECOS PAC ID: 7012329022 Enrollment ID: I20210115002070 |
| Provider Name | Farshid Shahangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790471894 PECOS PAC ID: 8729441530 Enrollment ID: I20230828000683 |
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