Sura Sharqe Endocrinology, Inc | |
6525 W. Sack Drive #204 Glendale AZ 85308 | |
(623) 825-0237 | |
(623) 825-0271 |
Full Name | Sura Sharqe Endocrinology, Inc |
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Speciality | Internal Medicine |
Location | 6525 W. Sack Drive, Glendale, Arizona |
Authorized Official Name and Position | Momin Mohamed Gabir (PRESIDENT) |
Authorized Official Contact | 6238250237 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sura Sharqe Endocrinology, Inc Po Box 72327 Sura Sharqe Endocrinology, Inc Phoenix AZ 85050-1023 Ph: (623) 825-0237 | Sura Sharqe Endocrinology, Inc 6525 W. Sack Drive #204 Glendale AZ 85308 Ph: (623) 825-0237 |
NPI Number | 1497829659 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 01/26/2009 |
Medicare PECOS PAC ID | 3173590148 |
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Medicare Enrollment ID | O20040910000791 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497829659 | NPI | - | NPPES |
56505401 | Medicaid | AZ | |
565054 | Medicaid | AZ |
Provider Name | Momin Gabir |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1396944393 PECOS PAC ID: 8426025404 Enrollment ID: I20040913000447 |
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