Yuma Infectious Diseases Center Plc | |
2281 W 24th St Suite 11 Yuma AZ 85364-6154 | |
(928) 314-3201 | |
(928) 314-3202 |
Full Name | Yuma Infectious Diseases Center Plc |
---|---|
Speciality | Internal Medicine |
Location | 2281 W 24th St, Yuma, Arizona |
Authorized Official Name and Position | Engida Bekele Alemu (PRESIDENT) |
Authorized Official Contact | 9283143201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Yuma Infectious Diseases Center Plc 2281 W 24th St Suite 11 Yuma AZ 85364-6154 Ph: (928) 314-3201 | Yuma Infectious Diseases Center Plc 2281 W 24th St Suite 11 Yuma AZ 85364-6154 Ph: (928) 314-3201 |
NPI Number | 1932389970 |
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Provider Enumeration Date | 11/07/2007 |
Last Update Date | 07/29/2014 |
Medicare PECOS PAC ID | 9234219122 |
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Medicare Enrollment ID | O20080104000270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932389970 | NPI | - | NPPES |
1710916705 | Other | AZ | PERSONAL UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 37473 (Arizona) | Primary |
Provider Name | Engida Alemu |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1710916705 PECOS PAC ID: 2961585732 Enrollment ID: I20080218000138 |
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