| Dr Anthony Ikechukwu Ani, MD | |
| 1400 S Dobson Rd Fl 5, Mesa, AZ 85202-4707 | |
| (480) 412-7886 | |
| Not Available | 
| Full Name | Dr Anthony Ikechukwu Ani | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1400 S Dobson Rd Fl 5, Mesa, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265619373 | NPI | - | NPPES | 
| 355740 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 40547 (Arizona) | Primary | 
| Entity Name | Banner Physician Super Specialists Arizona Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 | 
| Entity Name | Arizona Acute Medical Services 1 Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154860674 PECOS PAC ID: 6204113970 Enrollment ID: O20170505001284 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Anthony Ikechukwu Ani, MD 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 Ph: (602) 789-0344 | Dr Anthony Ikechukwu Ani, MD 1400 S Dobson Rd Fl 5, Mesa, AZ 85202-4707 Ph: (480) 412-7886 | 
| Madhuri Kashyap, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-3000 | |
| Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500 | |
| Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887 | |
| Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201 | |
| Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013 | |
| Naresh Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-4100 Fax: 480-412-5154 | |
| Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551 |