| Neena K Uppal MD PC | |
|
14674 W Mountain View Blvd Ste 200 Surprise AZ 85374 | |
| (623) 544-6860 | |
| (623) 544-6861 |
| Full Name | Neena K Uppal MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 14674 W Mountain View Blvd Ste 200, Surprise, Arizona |
| Authorized Official Name and Position | Neena K Uppal (OWNER) |
| Authorized Official Contact | 6235446860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neena K Uppal MD PC 14674 W Mountain View Blvd Ste 200 Surprise AZ 85374-2708 Ph: (623) 544-6860 | Neena K Uppal MD PC 14674 W Mountain View Blvd Ste 200 Surprise AZ 85374 Ph: (623) 544-6860 |
| NPI Number | 1790973006 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 06/12/2018 |
| Medicare PECOS PAC ID | 6406111947 |
|---|---|
| Medicare Enrollment ID | O20180604000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790973006 | NPI | - | NPPES |
| 423533 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25660 (Arizona) | Primary |
| Provider Name | Neena K Uppal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124133020 PECOS PAC ID: 5799703203 Enrollment ID: I20051103000340 |
| Provider Name | Joshua J Kohl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598168213 PECOS PAC ID: 8123346673 Enrollment ID: I20150413000905 |
| Provider Name | Taelyn D Carrizales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851841480 PECOS PAC ID: 7911285960 Enrollment ID: I20161026002942 |
| Provider Name | Danyelle M Dingle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497202584 PECOS PAC ID: 1658650247 Enrollment ID: I20170307002587 |
| Provider Name | Erin Jean Mcmanus-tomanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104425123 PECOS PAC ID: 5092126573 Enrollment ID: I20210927000176 |
| Provider Name | Jamie Brockman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053075820 PECOS PAC ID: 9830588821 Enrollment ID: I20211112001009 |
| Provider Name | Tiffany Ali |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083090294 PECOS PAC ID: 2668772427 Enrollment ID: I20231113002043 |
| Provider Name | Leslie Sarmiento Pascual |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932810942 PECOS PAC ID: 6103264353 Enrollment ID: I20240405003444 |
| Provider Name | Tegan Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093536450 PECOS PAC ID: 3779062039 Enrollment ID: I20260206001495 |
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Surprise Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14800 W Mountain View Blvd, Suite 190, Surprise, AZ 85374 Phone: 623-889-7199 Fax: 623-889-7198 |
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