| Paseo Medical Specialists Llc | |
|
13606 N 59th Ave # 1 Glendale AZ 85304-1271 | |
| (602) 978-6100 | |
| (602) 978-2446 |
| Full Name | Paseo Medical Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13606 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Manjit Bhamrah (PRESIDENT) |
| Authorized Official Contact | 6029786100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paseo Medical Specialists Llc 13606 N 59th Ave # 1 Glendale AZ 85304-1271 Ph: (602) 978-6100 | Paseo Medical Specialists Llc 13606 N 59th Ave # 1 Glendale AZ 85304-1271 Ph: (602) 978-6100 |
| NPI Number | 1235160995 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 7618956970 |
|---|---|
| Medicare Enrollment ID | O20040719001419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235160995 | NPI | - | NPPES |
| Provider Name | Manjit S Bhamrah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699706341 PECOS PAC ID: 8527011667 Enrollment ID: I20080806000049 |
| Provider Name | Rachel T Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336680461 PECOS PAC ID: 7315224722 Enrollment ID: I20170511001125 |
| Provider Name | Ronalyn U Baricevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528633690 PECOS PAC ID: 5092117770 Enrollment ID: I20210719000863 |
| Provider Name | Malti K Bhamrah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689106809 PECOS PAC ID: 2961858998 Enrollment ID: I20231027001654 |
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