| New Vida Medical LLC | |
|
3048 E Baseline Rd Ste 122 Mesa AZ 85204-7288 | |
| (480) 497-5933 | |
| Not Available |
| Full Name | New Vida Medical LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3048 E Baseline Rd Ste 122, Mesa, Arizona |
| Authorized Official Name and Position | Rachel Popowych (OWNER) |
| Authorized Official Contact | 4804975933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vida Medical LLC Po Box 838 Gilbert AZ 85299-0838 Ph: (480) 497-5933 | New Vida Medical LLC 3048 E Baseline Rd Ste 122 Mesa AZ 85204-7288 Ph: (480) 497-5933 |
| NPI Number | 1508689274 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 0042748691 |
|---|---|
| Medicare Enrollment ID | O20250109001903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508689274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Rakesh Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306100375 PECOS PAC ID: 7911215900 Enrollment ID: I20150924000742 |
| Provider Name | Dorothy C Igwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073038824 PECOS PAC ID: 9739577107 Enrollment ID: I20211104001097 |
| Provider Name | Jorge Rainier Alzuri Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114787405 PECOS PAC ID: 4880133016 Enrollment ID: I20240830003040 |
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