| Primacare Inc | |
|
2163 E Baseline Rd Ste 101 Tempe AZ 85283-1541 | |
| (480) 646-8123 | |
| (480) 646-8125 |
| Full Name | Primacare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2163 E Baseline Rd Ste 101, Tempe, Arizona |
| Authorized Official Name and Position | Zaheer A Shah (PRESIDENT) |
| Authorized Official Contact | 4806468123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primacare Inc 2163 E Baseline Rd Ste 101 Tempe AZ 85283-1541 Ph: (480) 646-8123 | Primacare Inc 2163 E Baseline Rd Ste 101 Tempe AZ 85283-1541 Ph: (480) 646-8123 |
| NPI Number | 1841354487 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 09/30/2021 |
| Medicare PECOS PAC ID | 6002701190 |
|---|---|
| Medicare Enrollment ID | O20070409000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841354487 | NPI | - | NPPES |
| 1841354487 | Other | GROUP NPI | |
| Z174978 | Other | AZ | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zaheer A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962592410 PECOS PAC ID: 6305731498 Enrollment ID: I20050215000330 |
| Provider Name | Heidi A Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700876000 PECOS PAC ID: 2264343680 Enrollment ID: I20120917000503 |
| Provider Name | Rose Tarsio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063995611 PECOS PAC ID: 3971841040 Enrollment ID: I20190214002855 |
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