| Sun City West Internal Medicine Associates | |
|
13927 W Grand Ave Suite 401 Surprise AZ 85374-2438 | |
| (623) 544-6963 | |
| (623) 975-5486 |
| Full Name | Sun City West Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 13927 W Grand Ave, Surprise, Arizona |
| Authorized Official Name and Position | Jagdeep Bains (SECRETARY) |
| Authorized Official Contact | 6235446963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun City West Internal Medicine Associates 13927 W Grand Ave Suite 401 Surprise AZ 85374-2438 Ph: (623) 544-6963 | Sun City West Internal Medicine Associates 13927 W Grand Ave Suite 401 Surprise AZ 85374-2438 Ph: (623) 544-6963 |
| NPI Number | 1730138413 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0648262915 |
|---|---|
| Medicare Enrollment ID | O20040330001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730138413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29311 (Arizona) | Primary |
| Provider Name | Jagdeep K Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013966621 PECOS PAC ID: 2961494240 Enrollment ID: I20110121000955 |
| Provider Name | Navjot K Rakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598714263 PECOS PAC ID: 4789676065 Enrollment ID: I20110126000164 |
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