| Pilu Dali Pllc | |
|
1301 S Crismon Rd Mesa AZ 85209-3767 | |
| (480) 358-6090 | |
| Not Available |
| Full Name | Pilu Dali Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 S Crismon Rd, Mesa, Arizona |
| Authorized Official Name and Position | Pilu Dali (SOLE MEMBER) |
| Authorized Official Contact | 4809077707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilu Dali Pllc Po Box 11773 Chandler AZ 85248-0013 Ph: (480) 907-7707 | Pilu Dali Pllc 1301 S Crismon Rd Mesa AZ 85209-3767 Ph: (480) 358-6090 |
| NPI Number | 1134591589 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Medicare PECOS PAC ID | 5799089462 |
|---|---|
| Medicare Enrollment ID | O20160201002532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134591589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Pilu Dali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790701191 PECOS PAC ID: 5395726467 Enrollment ID: I20081125000045 |
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