| Gita Jafari-raske, M.d., Pllc | |
|
4802 E Ray Rd Suite 23-534 Phoenix AZ 85044-6405 | |
| (480) 926-0170 | |
| Not Available |
| Full Name | Gita Jafari-raske, M.d., Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4802 E Ray Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Gita Jafari-raske (OWNER) |
| Authorized Official Contact | 4809260170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gita Jafari-raske, M.d., Pllc 4802 E Ray Rd Ste 23-534 Phoenix AZ 85044-6405 Ph: (480) 926-0170 | Gita Jafari-raske, M.d., Pllc 4802 E Ray Rd Suite 23-534 Phoenix AZ 85044-6405 Ph: (480) 926-0170 |
| NPI Number | 1043492481 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 4284724931 |
|---|---|
| Medicare Enrollment ID | O20071218000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043492481 | NPI | - | NPPES |
| DG8126 | Other | AZ | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gita Jafari-raske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043270226 PECOS PAC ID: 4981637436 Enrollment ID: I20050914001282 |
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