| Internal Medicine Of The Valley Plc | |
|
10585 N Tatum Blvd D-137 Paradise Valley AZ 85253-1073 | |
| (602) 277-2361 | |
| (602) 713-9999 |
| Full Name | Internal Medicine Of The Valley Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10585 N Tatum Blvd, Paradise Valley, Arizona |
| Authorized Official Name and Position | Kevin Theodorou (PRESIDENT) |
| Authorized Official Contact | 6022772361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of The Valley Plc 10585 N Tatum Blvd D-137 Paradise Valley AZ 85253-1073 Ph: (602) 277-2361 | Internal Medicine Of The Valley Plc 10585 N Tatum Blvd D-137 Paradise Valley AZ 85253-1073 Ph: (602) 277-2361 |
| NPI Number | 1629264148 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 08/03/2017 |
| Medicare PECOS PAC ID | 2163418708 |
|---|---|
| Medicare Enrollment ID | O20040421000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629264148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 28436 (Arizona) | Primary |
| Provider Name | Kevin P Theodorou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790898880 PECOS PAC ID: 2163415456 Enrollment ID: I20040405000162 |
Joseph K Zachariah, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4723 E Desert Park Pl, Paradise Valley, AZ 85253 Phone: 602-486-5956 Fax: 623-374-2321 | |
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