| Asda Internal Medicine LLC | |
|
9139 W Thunderbird Rd Ste 275 Peoria AZ 85381-4922 | |
| (623) 900-5181 | |
| (623) 900-5290 |
| Full Name | Asda Internal Medicine LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9139 W Thunderbird Rd Ste 275, Peoria, Arizona |
| Authorized Official Name and Position | Avinashi Somasundaram Arun Kumar (INTERNIST) |
| Authorized Official Contact | 6024029071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asda Internal Medicine LLC 27119 N 64th Ln Phoenix AZ 85083-7423 Ph: (602) 402-9071 | Asda Internal Medicine LLC 9139 W Thunderbird Rd Ste 275 Peoria AZ 85381-4922 Ph: (623) 900-5181 |
| NPI Number | 1760249494 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 09/02/2024 |
| Certification Date | 09/02/2024 |
| Medicare PECOS PAC ID | 6608218987 |
|---|---|
| Medicare Enrollment ID | O20240531002925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760249494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Avinashi Arun Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326375999 PECOS PAC ID: 3072705185 Enrollment ID: I20111102000666 |
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