| Epangelia Properties, Llc | |
|
1847 W. Heatherbrae Drive Phoenix AZ 85015-4764 | |
| (602) 274-2100 | |
| Not Available |
| Full Name | Epangelia Properties, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1847 W. Heatherbrae Drive, Phoenix, Arizona |
| Authorized Official Name and Position | Linda S Som (MEMBER) |
| Authorized Official Contact | 6022742100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epangelia Properties, Llc 1847 W Heatherbrae Dr Phoenix AZ 85015-4764 Ph: (602) 274-2100 | Epangelia Properties, Llc 1847 W. Heatherbrae Drive Phoenix AZ 85015-4764 Ph: (602) 274-2100 |
| NPI Number | 1780819748 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 04/21/2011 |
| Medicare PECOS PAC ID | 5799838140 |
|---|---|
| Medicare Enrollment ID | O20090731000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780819748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda Som |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477511764 PECOS PAC ID: 4688658073 Enrollment ID: I20070208000361 |
| Provider Name | Baoan Gia Le |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649350034 PECOS PAC ID: 9739169590 Enrollment ID: I20070329000441 |
| Provider Name | Daphne Bichotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922035823 PECOS PAC ID: 7315940145 Enrollment ID: I20100629000248 |
| Provider Name | Ha Duc Seung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104442482 PECOS PAC ID: 4183036445 Enrollment ID: I20201210002891 |
| Provider Name | Haneen Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740906304 PECOS PAC ID: 9830562669 Enrollment ID: I20230227001149 |
| Provider Name | Diana Lorine Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841905726 PECOS PAC ID: 0648643478 Enrollment ID: I20230227001188 |
| Provider Name | Danienne R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841915063 PECOS PAC ID: 1557735834 Enrollment ID: I20230328002856 |
| Provider Name | Janice Rama Tumulak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518665454 PECOS PAC ID: 3476901281 Enrollment ID: I20231204002602 |
| Provider Name | Dawit Sahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396523064 PECOS PAC ID: 1951740976 Enrollment ID: I20240423002722 |
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