Rising Medical Group Pllc | |
5325 W Butler Dr Glendale AZ 85302-4854 | |
(623) 931-7002 | |
Not Available |
Full Name | Rising Medical Group Pllc |
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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 |
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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 |
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Provider Enumeration Date | 10/30/2023 |
Last Update Date | 10/31/2023 |
Medicare PECOS PAC ID | 8628427465 |
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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 |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1972697837 PECOS PAC ID: 3375645344 Enrollment ID: I20231206000196 |
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