| Rising Medical Group Pllc | |
|
5325 W Butler Dr Glendale AZ 85302-4854 | |
| (623) 931-7002 | |
| Not Available |
| Full Name | Rising Medical Group Pllc |
|---|---|
| Speciality | General Practice |
| Location | 5325 W Butler Dr, Glendale, Arizona |
| Authorized Official Name and Position | Nana Adu-amankwa (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2407500147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Medical Group Pllc 14747 N Northsight Blvd Scottsdale AZ 85260-2631 Ph: (520) 226-5977 | Rising Medical Group Pllc 5325 W Butler Dr Glendale AZ 85302-4854 Ph: (623) 931-7002 |
| NPI Number | 1972376283 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 8628427465 |
|---|---|
| Medicare Enrollment ID | O20231206000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972376283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Nana Adu Amankwa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972697837 PECOS PAC ID: 3375645344 Enrollment ID: I20231206000196 |
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