| Allied Internal Medicine Pllc | |
|
6644 E Baywood Ave Mesa AZ 85206-1747 | |
| (480) 321-2000 | |
| Not Available |
| Full Name | Allied Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6644 E Baywood Ave, Mesa, Arizona |
| Authorized Official Name and Position | Dheeraj Bobba (SOLE MEMBER) |
| Authorized Official Contact | 6024396780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Internal Medicine Pllc Po Box 39334 Phoenix AZ 85069-9334 Ph: (602) 439-6780 | Allied Internal Medicine Pllc 6644 E Baywood Ave Mesa AZ 85206-1747 Ph: (480) 321-2000 |
| NPI Number | 1124408232 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/04/2015 |
| Medicare PECOS PAC ID | 7315251964 |
|---|---|
| Medicare Enrollment ID | O20150917003141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124408232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashwin P Ramadhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457328106 PECOS PAC ID: 6002843760 Enrollment ID: I20050725000504 |
| Provider Name | Anne Borik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023000486 PECOS PAC ID: 4082628920 Enrollment ID: I20060131000594 |
| Provider Name | Dheeraj K Bobba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588878508 PECOS PAC ID: 0840391694 Enrollment ID: I20071018000791 |
| Provider Name | Lalith Kumar Gande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821275082 PECOS PAC ID: 2466598040 Enrollment ID: I20091013000289 |
| Provider Name | Harish Nandipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265662928 PECOS PAC ID: 4587815147 Enrollment ID: I20121108000483 |
| Provider Name | Tanya Renee Minafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124415773 PECOS PAC ID: 6800101361 Enrollment ID: I20150813010372 |
| Provider Name | Basha I Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942693098 PECOS PAC ID: 7911214341 Enrollment ID: I20150917002334 |
| Provider Name | Rakesh Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306100375 PECOS PAC ID: 7911215900 Enrollment ID: I20150924000742 |
| Provider Name | Andrea R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669274 PECOS PAC ID: 2062715998 Enrollment ID: I20160126002205 |
| Provider Name | Tandra Arlene Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140259 PECOS PAC ID: 7214217181 Enrollment ID: I20161212000602 |
| Provider Name | Ansan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144770843 PECOS PAC ID: 7315293222 Enrollment ID: I20180709000317 |
| Provider Name | Stephanie Deborah Kotsur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235620170 PECOS PAC ID: 9436406253 Enrollment ID: I20180724003054 |
| Provider Name | Denise C Harriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629585088 PECOS PAC ID: 1456608298 Enrollment ID: I20180724003869 |
| Provider Name | Nichole M Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558841411 PECOS PAC ID: 2466797279 Enrollment ID: I20181226001661 |
| Provider Name | Thiennga Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427601004 PECOS PAC ID: 2163856501 Enrollment ID: I20191218001468 |
| Provider Name | Danielle M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124662374 PECOS PAC ID: 3476989419 Enrollment ID: I20200211000546 |
| Provider Name | Stacy Agersea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851922918 PECOS PAC ID: 7315368214 Enrollment ID: I20200602000267 |
| Provider Name | Gloria Nyakerario Obaigwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386223329 PECOS PAC ID: 0345658993 Enrollment ID: I20210420000671 |
| Provider Name | Cathryn Ann Griepentrog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104402114 PECOS PAC ID: 6709289564 Enrollment ID: I20210730002339 |
| Provider Name | Harangad S Bhangoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235626029 PECOS PAC ID: 1850630518 Enrollment ID: I20210813003204 |
| Provider Name | Gabrielle Rose Shadinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316602832 PECOS PAC ID: 2365834470 Enrollment ID: I20220124001290 |
| Provider Name | Turab Chevelwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841967668 PECOS PAC ID: 4486023512 Enrollment ID: I20221213001726 |
| Provider Name | Cynthia Obaigwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932801933 PECOS PAC ID: 3577920008 Enrollment ID: I20230526002269 |
| Provider Name | Cynthia Joann Hermosillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619612645 PECOS PAC ID: 7618337239 Enrollment ID: I20230714000659 |
| Provider Name | Mohana K Loya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649579186 PECOS PAC ID: 2365736485 Enrollment ID: I20231128001944 |
| Provider Name | Mary Boontung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790567816 PECOS PAC ID: 5890139752 Enrollment ID: I20240219002487 |
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