| Cave Creek Consultant PLLC | |
|
2553 E Rose Garden Lane Suite 77348 Phoenix AZ 85050 | |
| (602) 218-9483 | |
| Not Available |
| Full Name | Cave Creek Consultant PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2553 E Rose Garden Lane, Phoenix, Arizona |
| Authorized Official Name and Position | Hemang G Gandhi (MEMBER) |
| Authorized Official Contact | 6232523286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cave Creek Consultant PLLC Po Box 2510 Mesa AZ 85214-2510 Ph: (602) 432-0146 | Cave Creek Consultant PLLC 2553 E Rose Garden Lane Suite 77348 Phoenix AZ 85050 Ph: (602) 218-9483 |
| NPI Number | 1831863406 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 0042617805 |
|---|---|
| Medicare Enrollment ID | O20211110002208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831863406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Hemang M Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467560565 PECOS PAC ID: 0345242814 Enrollment ID: I20070213000262 |
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