| Ur Doc, Llc | |
|
436 E Southern Ave Tempe AZ 85282-5216 | |
| (480) 336-2039 | |
| (475) 275-7411 |
| Full Name | Ur Doc, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 436 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Saeed Bidar (PROPRIETOR) |
| Authorized Official Contact | 4802924020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ur Doc, Llc 436 E Southern Ave Tempe AZ 85282-5216 Ph: (480) 336-2039 | Ur Doc, Llc 436 E Southern Ave Tempe AZ 85282-5216 Ph: (480) 336-2039 |
| NPI Number | 1619598398 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 4789005836 |
|---|---|
| Medicare Enrollment ID | O20200528001764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619598398 | NPI | - | NPPES |
| 867393 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Saeed Bidar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629041678 PECOS PAC ID: 2567482714 Enrollment ID: I20051201001045 |
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