| Advent Internal Medicine PLLC | |
|
55 S 63rd St Suite 6 Mesa AZ 85206-1605 | |
| (480) 981-9234 | |
| (480) 981-3038 |
| Full Name | Advent Internal Medicine PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 S 63rd St, Mesa, Arizona |
| Authorized Official Name and Position | Madhavi R Pesari (MEMBER) |
| Authorized Official Contact | 4804152489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advent Internal Medicine PLLC Po Box 20610 Mesa AZ 85277-0610 Ph: (480) 985-1093 | Advent Internal Medicine PLLC 55 S 63rd St Suite 6 Mesa AZ 85206-1605 Ph: (480) 981-9234 |
| NPI Number | 1235579061 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 06/25/2013 |
| Medicare PECOS PAC ID | 8628212685 |
|---|---|
| Medicare Enrollment ID | O20130913000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235579061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29667 (Arizona) | Primary |
| Provider Name | Madhavi R Pesari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528047891 PECOS PAC ID: 9638193378 Enrollment ID: I20060207000049 |
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