| Mgt MD at Home | |
|
7117 E Peralta Cir Mesa AZ 85212-9825 | |
| (480) 430-0721 | |
| Not Available |
| Full Name | Mgt MD at Home |
|---|---|
| Speciality | Family Medicine |
| Location | 7117 E Peralta Cir, Mesa, Arizona |
| Authorized Official Name and Position | Jameelah Wilson (OWNER) |
| Authorized Official Contact | 4804300721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgt MD at Home 7316 E Southern Ave Unit 6091 Mesa AZ 85216-5005 Ph: (480) 430-0721 | Mgt MD at Home 7117 E Peralta Cir Mesa AZ 85212-9825 Ph: (480) 430-0721 |
| NPI Number | 1003448952 |
|---|---|
| Provider Enumeration Date | 02/09/2020 |
| Last Update Date | 02/09/2020 |
| Certification Date | 02/09/2020 |
| Medicare PECOS PAC ID | 3173953924 |
|---|---|
| Medicare Enrollment ID | O20200420002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003448952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mansoor Jatoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922366772 PECOS PAC ID: 9537399142 Enrollment ID: I20140227000741 |
| Provider Name | Jameelah Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578939682 PECOS PAC ID: 8820305063 Enrollment ID: I20150921000509 |
| Provider Name | Tandra Arlene Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140259 PECOS PAC ID: 7214217181 Enrollment ID: I20161212000602 |
| Provider Name | Norbert Njatha Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277139 PECOS PAC ID: 8628404837 Enrollment ID: I20200206002961 |
| Provider Name | Miranda G Njante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649884065 PECOS PAC ID: 9234504796 Enrollment ID: I20230414000742 |
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