| Upward Health Of Arizona Llc | |
|
101 N 1st Ave Phoenix AZ 85003-1902 | |
| (888) 985-5455 | |
| Not Available |
| Full Name | Upward Health Of Arizona Llc |
|---|---|
| Speciality | General Practice |
| Location | 101 N 1st Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Chengtao Todd Yu (CFO) |
| Authorized Official Contact | 8889855455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upward Health Of Arizona Llc 188 Valley St Ste 201 Providence RI 02909-2468 Ph: (888) 985-5455 | Upward Health Of Arizona Llc 101 N 1st Ave Phoenix AZ 85003-1902 Ph: (888) 985-5455 |
| NPI Number | 1801526009 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Medicare PECOS PAC ID | 1355713538 |
|---|---|
| Medicare Enrollment ID | O20230216001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801526009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Hilda M Defoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235470402 PECOS PAC ID: 0446493191 Enrollment ID: I20130827000789 |
| Provider Name | Deborah Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124648175 PECOS PAC ID: 4486039278 Enrollment ID: I20220914003249 |
| Provider Name | Anubhav Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023457975 PECOS PAC ID: 8729368618 Enrollment ID: I20221214002829 |
| Provider Name | Mehdi Qalbani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932309325 PECOS PAC ID: 1850435801 Enrollment ID: I20230512001747 |
| Provider Name | Dennis P H Mihale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508025859 PECOS PAC ID: 0547585481 Enrollment ID: I20230512002002 |
| Provider Name | Erica Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902029440 PECOS PAC ID: 5294166815 Enrollment ID: I20230512002018 |
| Provider Name | Delise M Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912517848 PECOS PAC ID: 8123448560 Enrollment ID: I20230512002280 |
| Provider Name | Alicia A Van Ihinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924986 PECOS PAC ID: 3274695531 Enrollment ID: I20230531003369 |
| Provider Name | Christopher Hamann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508840265 PECOS PAC ID: 1254466261 Enrollment ID: I20231011002474 |
| Provider Name | Benjamin M Lowenburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770872285 PECOS PAC ID: 1557654084 Enrollment ID: I20231113001704 |
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