| Sonoran Mobile Medicine Plc | |
|
9300 E Raintree Dr Ste 130 Scottsdale AZ 85260-7313 | |
| (480) 427-0020 | |
| (480) 462-4966 |
| Full Name | Sonoran Mobile Medicine Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9300 E Raintree Dr Ste 130, Scottsdale, Arizona |
| Authorized Official Name and Position | Manish Patel (OWNER) |
| Authorized Official Contact | 4804270020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Mobile Medicine Plc 9300 E Raintree Dr Ste 130 Scottsdale AZ 85260-7313 Ph: (480) 427-0020 | Sonoran Mobile Medicine Plc 9300 E Raintree Dr Ste 130 Scottsdale AZ 85260-7313 Ph: (480) 427-0020 |
| NPI Number | 1720745748 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 11/24/2021 |
| Medicare PECOS PAC ID | 7012309479 |
|---|---|
| Medicare Enrollment ID | O20220114000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720745748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manish J Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326010471 PECOS PAC ID: 0749240307 Enrollment ID: I20041018000739 |
| Provider Name | Karen Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775061 PECOS PAC ID: 4587056635 Enrollment ID: I20220121001464 |
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