| Sanctum Internal Medicine | |
|
8405 E Baseline Rd Ste 102 Mesa AZ 85209-4376 | |
| (480) 597-3581 | |
| Not Available |
| Full Name | Sanctum Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 8405 E Baseline Rd Ste 102, Mesa, Arizona |
| Authorized Official Name and Position | Ankur M Bant (OWNER) |
| Authorized Official Contact | 4805973581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctum Internal Medicine 8405 E Baseline Rd Ste 102 Mesa AZ 85209-4376 Ph: (480) 597-3581 | Sanctum Internal Medicine 8405 E Baseline Rd Ste 102 Mesa AZ 85209-4376 Ph: (480) 597-3581 |
| NPI Number | 1437848785 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 8729442256 |
|---|---|
| Medicare Enrollment ID | O20230915001959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437848785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ankur M Bant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164544979 PECOS PAC ID: 9638232549 Enrollment ID: I20110602000563 |
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