| Dr Dheeraj Kumar Bobba, MD | |
|
7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | |
| (480) 981-2700 | |
| (480) 981-8399 |
| Full Name | Dr Dheeraj Kumar Bobba |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 7525 E Broadway Rd Ste 9, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588878508 | NPI | - | NPPES |
| 256541 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 37192 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 37192 (Arizona) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 37192 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of The Valley East | Gilbert, AZ | Hospice |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Banner Heart Hospital | Mesa, AZ | Hospital |
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Scottsdale Osborn Medical Center | Scottsdale, AZ | Hospital |
| Advanced Healthcare Of Mesa | Mesa, AZ | Nursing home |
| Montecito Post Acute Care And Rehabilitation | Mesa, AZ | Nursing home |
| North Chandler Place - A Continuum Of Care Commun | Chandler, AZ | Nursing home |
| Fountain View Village | Fountain hills, AZ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Internal Medicine Pllc | 7315251964 | 24 |
| Allied Medical Associates Plc | 0840614566 | 4 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Allied Internal Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124408232 PECOS PAC ID: 7315251964 Enrollment ID: O20150917003141 |
| Entity Name | Allied Medical Associates Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114541752 PECOS PAC ID: 0840614566 Enrollment ID: O20200728000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dheeraj Kumar Bobba, MD 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 Ph: (480) 981-2700 | Dr Dheeraj Kumar Bobba, MD 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 Ph: (480) 981-2700 |