Scottsdale Physicians Group Plc | |
7975 N Hayden Rd Ste D354 Scottsdale AZ 85258-3243 | |
(480) 214-9720 | |
(480) 214-9722 |
Full Name | Scottsdale Physicians Group Plc |
---|---|
Speciality | Internal Medicine |
Location | 7975 N Hayden Rd Ste D354, Scottsdale, Arizona |
Authorized Official Name and Position | Nima Ghadimi (PRESIDENT) |
Authorized Official Contact | 8003535420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Scottsdale Physicians Group Plc 7975 N Hayden Rd Ste C380 Scottsdale AZ 85258-3265 Ph: (480) 214-9720 | Scottsdale Physicians Group Plc 7975 N Hayden Rd Ste D354 Scottsdale AZ 85258-3243 Ph: (480) 214-9720 |
NPI Number | 1689799579 |
---|---|
Provider Enumeration Date | 03/20/2007 |
Last Update Date | 09/27/2019 |
Medicare PECOS PAC ID | 8325099385 |
---|---|
Medicare Enrollment ID | O20050207000876 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689799579 | NPI | - | NPPES |
909575 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Maria R Saldivar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427015239 PECOS PAC ID: 7012802739 Enrollment ID: I20040220000060 |
Provider Name | Nima Ghadimi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891894333 PECOS PAC ID: 9537152434 Enrollment ID: I20040406001418 |
Provider Name | Payam Azima |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447246129 PECOS PAC ID: 6507853496 Enrollment ID: I20040430001172 |
Provider Name | Ngozi A Osondu |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1598778177 PECOS PAC ID: 3476540519 Enrollment ID: I20040501000180 |
Provider Name | Diana B Koss |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952353807 PECOS PAC ID: 4880592963 Enrollment ID: I20040504000394 |
Provider Name | Evan S Trost |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013976349 PECOS PAC ID: 7214907393 Enrollment ID: I20040727001062 |
Provider Name | Mufid Khoury |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396893335 PECOS PAC ID: 6901855055 Enrollment ID: I20050117000153 |
Provider Name | Saeed Bidar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629041678 PECOS PAC ID: 2567482714 Enrollment ID: I20051201001045 |
Provider Name | David E Bank |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1093788531 PECOS PAC ID: 4486677143 Enrollment ID: I20060109000428 |
Provider Name | Raad A Hindosh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972590818 PECOS PAC ID: 4880609205 Enrollment ID: I20060207000241 |
Provider Name | Fariya A Bukhari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477595296 PECOS PAC ID: 5294744579 Enrollment ID: I20060413000638 |
Provider Name | Erik Michael Ramnath |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912002742 PECOS PAC ID: 8224035092 Enrollment ID: I20061109000088 |
Provider Name | Jennifer Mae Prescott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023039575 PECOS PAC ID: 3072512490 Enrollment ID: I20061213000295 |
Provider Name | Russell J Esquivel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972682409 PECOS PAC ID: 2668472846 Enrollment ID: I20070111000630 |
Provider Name | Gregory F Gargiulo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043248834 PECOS PAC ID: 7315947090 Enrollment ID: I20070118000245 |
Provider Name | Peter Parker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164548814 PECOS PAC ID: 9032217393 Enrollment ID: I20070611000116 |
Provider Name | Gobi K Paramanandam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568677706 PECOS PAC ID: 8921106121 Enrollment ID: I20070612000631 |
Provider Name | Maha L Tomas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871653147 PECOS PAC ID: 4284723982 Enrollment ID: I20071204000056 |
Provider Name | Jennifer Lee Samuels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265621866 PECOS PAC ID: 7719069327 Enrollment ID: I20080204000517 |
Provider Name | Harjinder S Bal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912182221 PECOS PAC ID: 4284719089 Enrollment ID: I20080304000368 |
Provider Name | John A Carroll |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1063468932 PECOS PAC ID: 6800962655 Enrollment ID: I20080903000178 |
Provider Name | Binoy Chandra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811931595 PECOS PAC ID: 4688736275 Enrollment ID: I20081216000138 |
Provider Name | Vinay Prabhakaran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720004393 PECOS PAC ID: 8022080993 Enrollment ID: I20081222000020 |
Provider Name | Patricia M Tan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285816652 PECOS PAC ID: 0840344511 Enrollment ID: I20090814000052 |
Provider Name | Nagaraj C Madugonde |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1386838530 PECOS PAC ID: 4789712894 Enrollment ID: I20100511000829 |
Provider Name | Ahmed R Abouzeid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871619601 PECOS PAC ID: 9830223296 Enrollment ID: I20100820000248 |
Provider Name | Ken S Ota |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750544276 PECOS PAC ID: 2365635935 Enrollment ID: I20101015000585 |
Provider Name | Manish Sahni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558477984 PECOS PAC ID: 9436128584 Enrollment ID: I20110324000398 |
Provider Name | Ronald Cohen |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851376719 PECOS PAC ID: 8022287408 Enrollment ID: I20110802000382 |
Provider Name | Bret Bitza |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831345529 PECOS PAC ID: 6204006455 Enrollment ID: I20110826000380 |
Provider Name | Jansy Kolandra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922333467 PECOS PAC ID: 8820261647 Enrollment ID: I20111022000086 |
Provider Name | Seema Tanveer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134163405 PECOS PAC ID: 8123082229 Enrollment ID: I20120105000793 |
Provider Name | Omid G Dilmaghanian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447376983 PECOS PAC ID: 7618053224 Enrollment ID: I20120120000184 |
Provider Name | Poliana Tan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336313154 PECOS PAC ID: 2860650207 Enrollment ID: I20120215000153 |
Provider Name | Connie Hoh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1528324548 PECOS PAC ID: 5890957062 Enrollment ID: I20120504000125 |
Provider Name | Tanya M Hatch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700151271 PECOS PAC ID: 3870749211 Enrollment ID: I20120817000269 |
Provider Name | Mark I Roberts |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457330383 PECOS PAC ID: 2264611771 Enrollment ID: I20121115000035 |
Provider Name | Ronald Kane |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114941994 PECOS PAC ID: 4789715467 Enrollment ID: I20121116000169 |
Provider Name | Julie Taylor Zafuto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598016982 PECOS PAC ID: 7113178211 Enrollment ID: I20130116000376 |
Provider Name | Karen A Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467791236 PECOS PAC ID: 3274779095 Enrollment ID: I20130424000633 |
Provider Name | Mehran Darzy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225370695 PECOS PAC ID: 1759528763 Enrollment ID: I20130511000065 |
Provider Name | Kelli L Lesage-bank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578808994 PECOS PAC ID: 3173764693 Enrollment ID: I20130725000993 |
Provider Name | Elfat Rumman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811266208 PECOS PAC ID: 0345475463 Enrollment ID: I20131028000321 |
Provider Name | Vinamra Kumar Jain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427388925 PECOS PAC ID: 6608023908 Enrollment ID: I20140728001327 |
Provider Name | Emanuel M Pauwels |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871883355 PECOS PAC ID: 8628202272 Enrollment ID: I20140804000641 |
Provider Name | Karen M Trask |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649679853 PECOS PAC ID: 9133442940 Enrollment ID: I20150102000009 |
Provider Name | Shahram Emrani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235421959 PECOS PAC ID: 1658695291 Enrollment ID: I20150130000723 |
Provider Name | Christopher Eicher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043509516 PECOS PAC ID: 1153544051 Enrollment ID: I20150220001693 |
Provider Name | Hieu Luu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215164280 PECOS PAC ID: 8224284344 Enrollment ID: I20150717001013 |
Provider Name | Wisam F Shaba |
---|---|
Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1366712176 PECOS PAC ID: 8022319342 Enrollment ID: I20151210001262 |
Provider Name | Tarandeep Grewal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053671529 PECOS PAC ID: 3274834379 Enrollment ID: I20151215000671 |
Provider Name | Ahmad A Kadhim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083971014 PECOS PAC ID: 0547561342 Enrollment ID: I20151221002249 |
Provider Name | Kiara Shanee Deem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447627856 PECOS PAC ID: 3971806480 Enrollment ID: I20160115001720 |
Provider Name | Jennifer E Cammarata |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144277385 PECOS PAC ID: 6901109370 Enrollment ID: I20160119000622 |
Provider Name | Elsa Cedillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760840391 PECOS PAC ID: 7113226978 Enrollment ID: I20160428001312 |
Provider Name | Stuart J Andersen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205270956 PECOS PAC ID: 3476794777 Enrollment ID: I20160613000867 |
Provider Name | Patricia T Mayborne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063951614 PECOS PAC ID: 0547545956 Enrollment ID: I20170328000732 |
Provider Name | Shaila Karan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1609174648 PECOS PAC ID: 2163648585 Enrollment ID: I20170406002286 |
Provider Name | Aileen Marie O Macaraeg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184155459 PECOS PAC ID: 4183900434 Enrollment ID: I20170420002743 |
Provider Name | Melissa D Morissette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730627498 PECOS PAC ID: 8325324692 Enrollment ID: I20170421000971 |
Provider Name | Sabine F Garrett-shorty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104256577 PECOS PAC ID: 7911276209 Enrollment ID: I20170629001300 |
Provider Name | Sripriya D Sidh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619044690 PECOS PAC ID: 4486654290 Enrollment ID: I20170713001592 |
Provider Name | Steven Seymour |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700320132 PECOS PAC ID: 4385914217 Enrollment ID: I20170725003081 |
Provider Name | David C Testa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114331394 PECOS PAC ID: 0547532558 Enrollment ID: I20170824002979 |
Provider Name | Heidi L Dalhaug |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467983882 PECOS PAC ID: 9931472131 Enrollment ID: I20170911001777 |
Provider Name | Mohammad A Abdulrasool |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053738096 PECOS PAC ID: 4284909581 Enrollment ID: I20171012003289 |
Provider Name | Tuong C Ta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235546805 PECOS PAC ID: 7315204849 Enrollment ID: I20171207003157 |
Provider Name | Valerie Nicole Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134631120 PECOS PAC ID: 1759649668 Enrollment ID: I20171226001682 |
Provider Name | Yunuen Manuel Valenzuela |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942445127 PECOS PAC ID: 5092076380 Enrollment ID: I20180301001020 |
Provider Name | Randy Jo Kauk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982131702 PECOS PAC ID: 1456613256 Enrollment ID: I20180314001204 |
Provider Name | Stephanie L Berman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336642115 PECOS PAC ID: 7012262918 Enrollment ID: I20180618001881 |
Provider Name | Melinda L Odabash |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952813248 PECOS PAC ID: 4587910740 Enrollment ID: I20180702002553 |
Provider Name | Lesley Wood |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1558519231 PECOS PAC ID: 5193952059 Enrollment ID: I20180820001005 |
Provider Name | Tejkaran Dhillon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417342569 PECOS PAC ID: 7911256862 Enrollment ID: I20180826000022 |
Provider Name | Futoon Al Akili |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1750701702 PECOS PAC ID: 3678882503 Enrollment ID: I20180919002737 |
Provider Name | Ajeet S Nagra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518353465 PECOS PAC ID: 1052625084 Enrollment ID: I20181016002318 |
Provider Name | Mark C Okafor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942582721 PECOS PAC ID: 8325391188 Enrollment ID: I20181024000576 |
Provider Name | Adrianne Gill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639421068 PECOS PAC ID: 1355587817 Enrollment ID: I20181227001891 |
Provider Name | Sonja G Kerth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407208135 PECOS PAC ID: 9133467806 Enrollment ID: I20190205003225 |
Provider Name | Zaid N Hanoudi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770782807 PECOS PAC ID: 8426238874 Enrollment ID: I20190401001987 |
Provider Name | Maralee Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902370711 PECOS PAC ID: 9739420878 Enrollment ID: I20190417002990 |
Provider Name | April Glenda David |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972083566 PECOS PAC ID: 0648513309 Enrollment ID: I20190520002970 |
Provider Name | Bridget C Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811459779 PECOS PAC ID: 7315270048 Enrollment ID: I20190611002538 |
Provider Name | Alexander Plado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366007700 PECOS PAC ID: 6305179961 Enrollment ID: I20190613001180 |
Provider Name | Ahmed K Agha |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1063413524 PECOS PAC ID: 0547471799 Enrollment ID: I20190809001704 |
Provider Name | Catherine Ann Chudzinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225681935 PECOS PAC ID: 8022340215 Enrollment ID: I20191021001491 |
Provider Name | Jorge L Chavez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1396132239 PECOS PAC ID: 3072866912 Enrollment ID: I20191217000920 |
Provider Name | Kelly A Ranahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316506561 PECOS PAC ID: 0446684450 Enrollment ID: I20191230000582 |
Provider Name | Andrew Owusu-ansah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982246484 PECOS PAC ID: 8123452067 Enrollment ID: I20191230002421 |
Provider Name | Susan Donoghue |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922521236 PECOS PAC ID: 6709158330 Enrollment ID: I20200325003262 |
Provider Name | Ryan Andrew Evans |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073909552 PECOS PAC ID: 4789931882 Enrollment ID: I20200715001472 |
Provider Name | Heather Michelle Mccoll |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1003349887 PECOS PAC ID: 9133453145 Enrollment ID: I20200728001455 |
Provider Name | Melissa Wilkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538791041 PECOS PAC ID: 4486078144 Enrollment ID: I20200728001733 |
Provider Name | Katherine Wargo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053840546 PECOS PAC ID: 7911269634 Enrollment ID: I20201102002364 |
Provider Name | Michael Cornelius Kabyemela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104461508 PECOS PAC ID: 8426461070 Enrollment ID: I20201229000786 |
Provider Name | Shannon Schott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083204069 PECOS PAC ID: 6901210731 Enrollment ID: I20210205001332 |
Provider Name | Amber D Vercelline |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841895356 PECOS PAC ID: 2860809670 Enrollment ID: I20210323001824 |
Provider Name | Panthea Pedoeim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376895847 PECOS PAC ID: 2264840289 Enrollment ID: I20210412002366 |
Provider Name | Maria Louise Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487233094 PECOS PAC ID: 7416365812 Enrollment ID: I20210423002202 |
Provider Name | Jennifer Ann Tatrai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871176347 PECOS PAC ID: 3072922699 Enrollment ID: I20210512001449 |
Provider Name | Coddie Tatro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073119442 PECOS PAC ID: 5092114074 Enrollment ID: I20210524002268 |
Provider Name | Jasmit Singh Minhas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689081812 PECOS PAC ID: 7618233495 Enrollment ID: I20220103000023 |
Provider Name | Melissa Zuber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174264295 PECOS PAC ID: 7719365261 Enrollment ID: I20220613000390 |
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