| Pinakin G. Bhakta M.d.,p.c. | |
|
17100 N 67th Ave Suite 602 Glendale AZ 85308-3605 | |
| (602) 978-5005 | |
| (602) 978-1115 |
| Full Name | Pinakin G. Bhakta M.d.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 17100 N 67th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Sheelaben H. Bhakta (OFFICE MANAGER) |
| Authorized Official Contact | 6029785005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinakin G. Bhakta M.d.,p.c. 17100 N. 67th Ave. Suite 602 Glendale AZ 85308-3605 Ph: (602) 978-5005 | Pinakin G. Bhakta M.d.,p.c. 17100 N 67th Ave Suite 602 Glendale AZ 85308-3605 Ph: (602) 978-5005 |
| NPI Number | 1184921645 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 02/18/2011 |
| Medicare PECOS PAC ID | 1759567605 |
|---|---|
| Medicare Enrollment ID | O20110511000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184921645 | NPI | - | NPPES |
| 485434 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27723 (Arizona) | Primary |
| Provider Name | Pinakin G Bhakta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760438618 PECOS PAC ID: 1254386873 Enrollment ID: I20050316001017 |
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