| Vinee Srivastava, MD | |
| 
					3411 N 5th Ave., Ste 209, Regional Admin Office, Phoenix, AZ 85013-3812  | |
| (602) 789-0344 | |
| (602) 789-8389 | 
| Full Name | Vinee Srivastava | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 3411 N 5th Ave., Ste 209, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720130628 | NPI | - | NPPES | 
| 177262 | Medicaid | AZ | |
| 112867 | Other | AZ | MEDICARE-TYPE UNSPECIFIED | 
| Z112869 | Other | AZ | MEDICARE-TYPE UNSPECIFIED | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 35930 (Arizona) | Primary | 
| Entity Name | Ternion Physician Group, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013466192 PECOS PAC ID: 6709157589 Enrollment ID: O20170814001018  | 
| Entity Name | Clark Medical And Post-acute Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437851417 PECOS PAC ID: 5991164402 Enrollment ID: O20230630001989  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Vinee Srivastava, MD 3411 N 5th Ave., Ste. 209, Regional Admin Office, Phoenix, AZ 85013-3812 Ph: (602) 789-0344  | Vinee Srivastava, MD 3411 N 5th Ave., Ste 209, Regional Admin Office, Phoenix, AZ 85013-3812 Ph: (602) 789-0344  | 
Moustafa I Hazin, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013 Phone: 602-406-5590 Fax: 602-406-7165  | |
Dr. Ali Shaheen Al-yaqoobi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411  | |
Dana Archbold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2296 Fax: 602-839-2084  | |
Dr. Nilofar Najafian, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W Thomas Rd Ste 480, Phoenix, AZ 85013 Phone: 602-406-5483 Fax: 602-406-5488  | |
Brady Paul Dennison, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 E Dunlap Ave, Phoenix, AZ 85020 Phone: 602-445-0751 Fax: 602-424-8128  | |
Kristina Yancey,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-342-2000  | |
Dr. Francisco Cordova, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 29 W Edgemont Ave, Phoenix, AZ 85003 Phone: 602-263-8971 Fax: 602-263-8971  |