| Michael Amoa Asare Llc | |
|
485 S Dobson Rd Ste 105 Chandler AZ 85224-5603 | |
| (480) 525-0201 | |
| (480) 530-0750 |
| Full Name | Michael Amoa Asare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 485 S Dobson Rd Ste 105, Chandler, Arizona |
| Authorized Official Name and Position | Michael Amoa-asare (OWNER) |
| Authorized Official Contact | 4806896205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Amoa Asare Llc Po Box 12238 Chandler AZ 85248-0021 Ph: (480) 525-0201 | Michael Amoa Asare Llc 485 S Dobson Rd Ste 105 Chandler AZ 85224-5603 Ph: (480) 525-0201 |
| NPI Number | 1417117920 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 12/03/2021 |
| Medicare PECOS PAC ID | 0840587747 |
|---|---|
| Medicare Enrollment ID | O20160920003053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417117920 | NPI | - | NPPES |
| 791550 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 31244 (Arizona) | Primary |
| Provider Name | Michael Amoa-asare |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235199639 PECOS PAC ID: 4486542867 Enrollment ID: I20040308000764 |
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