| Arizona Diabetes And Endocrinology, Plc | |
|
3489 S Mercy Rd Ste 101 Gilbert AZ 85297-0431 | |
| (480) 646-8433 | |
| (480) 646-8434 |
| Full Name | Arizona Diabetes And Endocrinology, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3489 S Mercy Rd Ste 101, Gilbert, Arizona |
| Authorized Official Name and Position | Shabeena Shaik (OWNER-PHYSICIAN) |
| Authorized Official Contact | 4806468433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Diabetes And Endocrinology, Plc 2925 E Riggs Rd Ste 8-123 Chandler AZ 85249-3600 Ph: (480) 646-8433 | Arizona Diabetes And Endocrinology, Plc 3489 S Mercy Rd Ste 101 Gilbert AZ 85297-0431 Ph: (480) 646-8433 |
| NPI Number | 1215360003 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 1759511280 |
|---|---|
| Medicare Enrollment ID | O20140303001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215360003 | NPI | - | NPPES |
| 47799 | Other | AZ | AZ LIC 47799 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 47799 (Arizona) | Primary |
| Provider Name | Shabeena Shaik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821276544 PECOS PAC ID: 3779776596 Enrollment ID: I20140303001326 |
| Provider Name | Raquel H Castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568884310 PECOS PAC ID: 5395977920 Enrollment ID: I20140415000618 |
| Provider Name | Mami Trollope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588412480 PECOS PAC ID: 5193251635 Enrollment ID: I20241209000560 |
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