Phoenix Infectious Diseases Consultants Llc | |
3330 N 2nd St Ste 401 Phoenix AZ 85012-2371 | |
(602) 254-1136 | |
(602) 279-1720 |
Full Name | Phoenix Infectious Diseases Consultants Llc |
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Speciality | Internal Medicine |
Location | 3330 N 2nd St Ste 401, Phoenix, Arizona |
Authorized Official Name and Position | Ndidiamaka U Obiesie (OWNER/ PRESIDENT) |
Authorized Official Contact | 6027904108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Infectious Diseases Consultants Llc 530 E Mcdowell Rd Ste 107-609 Phoenix AZ 85004-1549 Ph: (602) 790-4108 | Phoenix Infectious Diseases Consultants Llc 3330 N 2nd St Ste 401 Phoenix AZ 85012-2371 Ph: (602) 254-1136 |
NPI Number | 1235305574 |
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Provider Enumeration Date | 05/06/2008 |
Last Update Date | 12/02/2014 |
Medicare PECOS PAC ID | 9931275161 |
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Medicare Enrollment ID | O20080911000450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235305574 | NPI | - | NPPES |
71505 | Other | MEDICARE UNSPEC | |
763062 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 30584 (Arizona) | Primary |
Provider Name | Ndidiamaka U Obiesie |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1770579492 PECOS PAC ID: 1456427673 Enrollment ID: I20080911000298 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |