| Endocrinology, Diabetes, And Thyroid Center Of Arizona Pllc | |
|
20100 N 51st Ave Suite F-635 Glendale AZ 85308-5125 | |
| (623) 266-7858 | |
| (623) 444-9810 |
| Full Name | Endocrinology, Diabetes, And Thyroid Center Of Arizona Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20100 N 51st Ave, Glendale, Arizona |
| Authorized Official Name and Position | Jasjeet Kaur (MD) |
| Authorized Official Contact | 6028857003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology, Diabetes, And Thyroid Center Of Arizona Pllc 20100 N 51st Ave Suite F-635 Glendale AZ 85308-5125 Ph: (623) 266-7858 | Endocrinology, Diabetes, And Thyroid Center Of Arizona Pllc 20100 N 51st Ave Suite F-635 Glendale AZ 85308-5125 Ph: (623) 266-7858 |
| NPI Number | 1003005893 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 07/25/2019 |
| Medicare PECOS PAC ID | 5092804336 |
|---|---|
| Medicare Enrollment ID | O20071210000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003005893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 36320 (Arizona) | Primary |
| Provider Name | Jasjeet Kaur |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417979907 PECOS PAC ID: 6305830290 Enrollment ID: I20070712000426 |
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