Jaya H Maddur, MD | |
111 El Camino Real, Sierra Vista, AZ 85635-2807 | |
(520) 459-3850 | |
(520) 459-3857 |
Full Name | Jaya H Maddur |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 111 El Camino Real, Sierra Vista, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316038136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 14396 (Arizona) | Primary |
Entity Name | Swan Gastroenterology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368891 PECOS PAC ID: 9133425903 Enrollment ID: O20160304001732 |
Mailing Address | Practice Location Address |
---|---|
Jaya H Maddur, MD 111 El Camino Real, Sierra Vista, AZ 85635-2807 Ph: (520) 459-3850 | Jaya H Maddur, MD 111 El Camino Real, Sierra Vista, AZ 85635-2807 Ph: (520) 459-3850 |
Jose Ignacio Gonzalez, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 157 N Coronado Dr, Ste A, Sierra Vista, AZ 85635 Phone: 520-458-1208 Fax: 520-458-1675 | |
Rebecca Pradhan-nara, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 77 Calle Portal, Suite B260a, Sierra Vista, AZ 85635 Phone: 520-226-4338 Fax: 520-335-8705 | |
Mustafa Faisal Mustafa Douglas, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-3190 | |
Mohammad Ali Hasan Hudeeb, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5700 E Highway 90, Hospitalist Office, Sierra Vista, AZ 85635 Phone: 520-263-3180 Fax: 520-263-3184 | |
Dr. Andrew Navindra Latchman, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 198 S Coronado Dr Ste A, Sierra Vista, AZ 85635 Phone: 520-220-5020 | |
Philip Lesueur, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Wilcox Dr, Sierra Vista, AZ 85635 Phone: 520-459-3116 Fax: 520-459-7397 | |
Richard M Gladding, DO Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2530 E Wilcox Dr, Sierra Vista, AZ 85635 Phone: 520-417-0586 Fax: 520-417-4207 |