| Sdms, P.c. | |
|
1847 E Southern Ave Suite # 1 Tempe AZ 85282-5881 | |
| (480) 838-2277 | |
| (480) 838-3887 |
| Full Name | Sdms, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1847 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Krishna M Pinnamaneni (PRESIDENT) |
| Authorized Official Contact | 4808382277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sdms, P.c. 1847 E Southern Ave Suite # 1 Tempe AZ 85282-5881 Ph: (480) 838-2277 | Sdms, P.c. 1847 E Southern Ave Suite # 1 Tempe AZ 85282-5881 Ph: (480) 838-2277 |
| NPI Number | 1215109715 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Medicare PECOS PAC ID | 8325284003 |
|---|---|
| Medicare Enrollment ID | O20130425000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215109715 | NPI | - | NPPES |
| 238198 | Medicaid | AZ | |
| 240747 | Medicaid | AZ |
| Provider Name | Krishna M Pinnamaneni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124022819 PECOS PAC ID: 8022036201 Enrollment ID: I20051107000126 |
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