| West Horizon Medical Center, Pc | |
|
395 N Silverbell Rd Ste. 245 Tucson AZ 85745-2675 | |
| (520) 622-7675 | |
| (520) 628-1024 |
| Full Name | West Horizon Medical Center, Pc |
|---|---|
| Speciality | General Practice |
| Location | 395 N Silverbell Rd, Tucson, Arizona |
| Authorized Official Name and Position | Surekha Bandlamuri (MD) |
| Authorized Official Contact | 5206227675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Horizon Medical Center, Pc Po Box 43160 Tucson AZ 85733-3160 Ph: (520) 722-3777 | West Horizon Medical Center, Pc 395 N Silverbell Rd Ste. 245 Tucson AZ 85745-2675 Ph: (520) 622-7675 |
| NPI Number | 1497805360 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 9638072887 |
|---|---|
| Medicare Enrollment ID | O20040127000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497805360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31764 (Arizona) | Secondary |
| 208D00000X | General Practice | 11203 (Arizona) | Primary |
| Provider Name | Surekha Bandlamuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487672564 PECOS PAC ID: 8426022773 Enrollment ID: I20040823000705 |
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