| Kyrene Internal Medicine PLLC | |
|
4545 E Chandler Blvd Suite 201 Phoenix AZ 85048-7643 | |
| (480) 598-4145 | |
| (480) 598-4346 |
| Full Name | Kyrene Internal Medicine PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4545 E Chandler Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Frank Oppong-takyi (PHYSICIAN) |
| Authorized Official Contact | 4805984145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyrene Internal Medicine PLLC 4545 E Chandler Blvd Suite 201 Phoenix AZ 85048-7643 Ph: (480) 598-4145 | Kyrene Internal Medicine PLLC 4545 E Chandler Blvd Suite 201 Phoenix AZ 85048-7643 Ph: (480) 598-4145 |
| NPI Number | 1750678355 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 6800065889 |
|---|---|
| Medicare Enrollment ID | O20110808000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750678355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| Provider Name | Frank N Oppong Takyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497770465 PECOS PAC ID: 5991725459 Enrollment ID: I20051201000195 |
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