| Surprise Medical Consultants Llc | |
|
14674 W Mountain View Blvd Suite 200 Surprise AZ 85374-2706 | |
| (623) 544-6860 | |
| (623) 544-6861 |
| Full Name | Surprise Medical Consultants Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 14674 W Mountain View Blvd, Surprise, Arizona |
| Authorized Official Name and Position | Pritpal Sandhu (CEO) |
| Authorized Official Contact | 6236708749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Medical Consultants Llc 41809 N La Cantera Dr Anthem AZ 85086-1946 Ph: (623) 670-8749 | Surprise Medical Consultants Llc 14674 W Mountain View Blvd Suite 200 Surprise AZ 85374-2706 Ph: (623) 544-6860 |
| NPI Number | 1497293898 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/13/2017 |
| Medicare PECOS PAC ID | 0446535967 |
|---|---|
| Medicare Enrollment ID | O20170324001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497293898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40128 (Arizona) | Primary |
| Provider Name | Pritpal S Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548397995 PECOS PAC ID: 4183790843 Enrollment ID: I20080903000318 |
| Provider Name | Deayrie B Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114425386 PECOS PAC ID: 4486918059 Enrollment ID: I20180507002033 |
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