| Serve Md Llc | |
|
7900 E Florentine Rd Prescott Valley AZ 86314-2218 | |
| (928) 493-9937 | |
| (928) 304-7770 |
| Full Name | Serve Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7900 E Florentine Rd, Prescott Valley, Arizona |
| Authorized Official Name and Position | Raghav Mohindra (OWNER) |
| Authorized Official Contact | 9284939937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serve Md Llc 7900 E Florentine Rd Prescott Valley AZ 86314-2218 Ph: (928) 493-9937 | Serve Md Llc 7900 E Florentine Rd Prescott Valley AZ 86314-2218 Ph: (928) 493-9937 |
| NPI Number | 1285310581 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 6204375538 |
|---|---|
| Medicare Enrollment ID | O20240829003500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285310581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Raghav Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427210426 PECOS PAC ID: 7113075045 Enrollment ID: I20090724000450 |
| Provider Name | Sarah Joan Grohmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437511896 PECOS PAC ID: 7618135062 Enrollment ID: I20160531001953 |
| Provider Name | Vivek Narasimhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013302884 PECOS PAC ID: 7618279068 Enrollment ID: I20210405000808 |
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