Phoenix Internal Medicine Associates Llc | |
2353 E Kempton Rd Chandler AZ 85225-2353 | |
(480) 406-9317 | |
(480) 963-9614 |
Full Name | Phoenix Internal Medicine Associates Llc |
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Speciality | Internal Medicine |
Location | 2353 E Kempton Rd, Chandler, Arizona |
Authorized Official Name and Position | Muhammad Alam (OWNER) |
Authorized Official Contact | 4804069317 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phoenix Internal Medicine Associates Llc Po Box 2935 Chandler AZ 85244-2935 Ph: (480) 406-9317 | Phoenix Internal Medicine Associates Llc 2353 E Kempton Rd Chandler AZ 85225-2353 Ph: (480) 406-9317 |
NPI Number | 1578782983 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 05/29/2008 |
Medicare PECOS PAC ID | 0749389930 |
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Medicare Enrollment ID | O20070629000117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578782983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Muhammad M Alam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891829057 PECOS PAC ID: 5395768105 Enrollment ID: I20060106000854 |
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