| Manek Inc | |
|
2400 S Avenue A Yuma AZ 85364-7127 | |
| (928) 317-9100 | |
| (928) 317-9300 |
| Full Name | Manek Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 S Avenue A, Yuma, Arizona |
| Authorized Official Name and Position | Tanmay Manek Chimegawe (DIRECTOR) |
| Authorized Official Contact | 7736141210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manek Inc Po Box 5758 Yuma AZ 85366-2486 Ph: (928) 317-9100 | Manek Inc 2400 S Avenue A Yuma AZ 85364-7127 Ph: (928) 317-9100 |
| NPI Number | 1184178071 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Medicare PECOS PAC ID | 1052607900 |
|---|---|
| Medicare Enrollment ID | O20160901001667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184178071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 44046 (Arizona) | Primary |
| Provider Name | Tanmay M Chimegawe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164671046 PECOS PAC ID: 3971776782 Enrollment ID: I20111021000580 |
| Provider Name | Danielle L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912171927 PECOS PAC ID: 2769534601 Enrollment ID: I20121109000392 |
| Provider Name | Hector I De La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205370293 PECOS PAC ID: 8224312012 Enrollment ID: I20170222001480 |
| Provider Name | Mario Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023667862 PECOS PAC ID: 9032542303 Enrollment ID: I20191129000156 |
| Provider Name | Ivan H Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720742729 PECOS PAC ID: 5890188932 Enrollment ID: I20220211002141 |
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