| Sandra V Mele | |
|
1301 S Crismon Rd Mesa AZ 85209-3767 | |
| (951) 201-7756 | |
| Not Available |
| Full Name | Sandra V Mele |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 S Crismon Rd, Mesa, Arizona |
| Authorized Official Name and Position | Sandra V Mele (OWNER) |
| Authorized Official Contact | 4802580489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra V Mele 2925 E Riggs Rd Ste.8 Pmb179 Chandler AZ 85249-3600 Ph: (951) 201-7756 | Sandra V Mele 1301 S Crismon Rd Mesa AZ 85209-3767 Ph: (951) 201-7756 |
| NPI Number | 1437613080 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/29/2019 |
| Medicare PECOS PAC ID | 4880925478 |
|---|---|
| Medicare Enrollment ID | O20191014000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437613080 | NPI | - | NPPES |
| 398267 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra Violetta Mele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265811418 PECOS PAC ID: 0446507008 Enrollment ID: I20180727001883 |
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