| Nanni B. Bachenheimer MD PLLC | |
|
9630 E Shea Blvd Scottsdale AZ 85260-6267 | |
| (480) 747-3009 | |
| (480) 296-7665 |
| Full Name | Nanni B. Bachenheimer MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9630 E Shea Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Nanni B Bachenheimer (OWNER) |
| Authorized Official Contact | 4807473009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nanni B. Bachenheimer MD PLLC Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 289-3467 | Nanni B. Bachenheimer MD PLLC 9630 E Shea Blvd Scottsdale AZ 85260-6267 Ph: (480) 747-3009 |
| NPI Number | 1013197227 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 6103908405 |
|---|---|
| Medicare Enrollment ID | O20080125000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013197227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33906 (Arizona) | Primary |
| Provider Name | Nanni B Bachenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578562807 PECOS PAC ID: 2769476191 Enrollment ID: I20050414001088 |
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