| Vip Health Center Inc | |
|
7339 E Williams Dr # 27255 Scottsdale AZ 85255-4985 | |
| (480) 560-8440 | |
| (877) 685-4673 |
| Full Name | Vip Health Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7339 E Williams Dr # 27255, Scottsdale, Arizona |
| Authorized Official Name and Position | Keyvan Koochek (PRESIDENT) |
| Authorized Official Contact | 4805608440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Health Center Inc Po Box 27255 Scottsdale AZ 85255-0137 Ph: (480) 560-8440 | Vip Health Center Inc 7339 E Williams Dr # 27255 Scottsdale AZ 85255-4985 Ph: (480) 560-8440 |
| NPI Number | 1417142720 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 11/16/2008 |
| Medicare PECOS PAC ID | 7416033725 |
|---|---|
| Medicare Enrollment ID | O20080328000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417142720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Keyvan Koochek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902855513 PECOS PAC ID: 7911909494 Enrollment ID: I20070213000332 |
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