| Nugenmedicine Llc | |
|
5111 N Scottsdale Rd Ste 143 Scottsdale AZ 85250-7076 | |
| (480) 716-5998 | |
| (480) 716-5779 |
| Full Name | Nugenmedicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5111 N Scottsdale Rd Ste 143, Scottsdale, Arizona |
| Authorized Official Name and Position | Amir Afzali (OWNER) |
| Authorized Official Contact | 4807165998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nugenmedicine Llc 5111 N Scottsdale Rd Ste 143 Scottsdale AZ 85250-7076 Ph: (480) 716-5998 | Nugenmedicine Llc 5111 N Scottsdale Rd Ste 143 Scottsdale AZ 85250-7076 Ph: (480) 716-5998 |
| NPI Number | 1215643895 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 0941662092 |
|---|---|
| Medicare Enrollment ID | O20230822000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215643895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nima Ghadimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891894333 PECOS PAC ID: 9537152434 Enrollment ID: I20040406001418 |
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