| Pioneer Hospitalists, Pllc | |
|
475 S Dobson Rd Chandler AZ 85224-5605 | |
| (480) 926-0170 | |
| (480) 452-0715 |
| Full Name | Pioneer Hospitalists, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 475 S Dobson Rd, Chandler, Arizona |
| Authorized Official Name and Position | Andrea Griffin (CREDENTIALIST) |
| Authorized Official Contact | 6029261696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Hospitalists, Pllc 3100 W Ray Rd Ste 201 Chandler AZ 85226-2472 Ph: (888) 488-7640 | Pioneer Hospitalists, Pllc 475 S Dobson Rd Chandler AZ 85224-5605 Ph: (480) 926-0170 |
| NPI Number | 1033177316 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 0941290290 |
|---|---|
| Medicare Enrollment ID | O20040517001550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033177316 | NPI | - | NPPES |
| 310727 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Subha Gopinath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356356059 PECOS PAC ID: 7416843651 Enrollment ID: I20040225000432 |
| Provider Name | Veeresh Moodabagil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902853005 PECOS PAC ID: 6608763636 Enrollment ID: I20040303000566 |
| Provider Name | Mohammad Ali N Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700866928 PECOS PAC ID: 9739173717 Enrollment ID: I20040413000274 |
| Provider Name | Mark A Mathurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497853733 PECOS PAC ID: 0648268532 Enrollment ID: I20040503001564 |
| Provider Name | Akash S Taggarse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811063555 PECOS PAC ID: 9537055694 Enrollment ID: I20040614000474 |
| Provider Name | Sultan Michael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346330412 PECOS PAC ID: 6709771132 Enrollment ID: I20040728001172 |
| Provider Name | Caleb R Lauber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205802642 PECOS PAC ID: 9739150871 Enrollment ID: I20040803001080 |
| Provider Name | Sunitha Yalamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902893845 PECOS PAC ID: 2668424102 Enrollment ID: I20050214000272 |
| Provider Name | Sai L Chandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437123593 PECOS PAC ID: 7911950969 Enrollment ID: I20050302000162 |
| Provider Name | Hemasree G Chaliki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356333454 PECOS PAC ID: 0941257471 Enrollment ID: I20050407000846 |
| Provider Name | Donald Velarde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467449215 PECOS PAC ID: 0143115139 Enrollment ID: I20050509000388 |
| Provider Name | Naved N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285677856 PECOS PAC ID: 9133160617 Enrollment ID: I20050514000017 |
| Provider Name | Pedram Ayazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861468209 PECOS PAC ID: 2769423920 Enrollment ID: I20050518000271 |
| Provider Name | Kristin L Hanson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659379378 PECOS PAC ID: 6901849629 Enrollment ID: I20050603000584 |
| Provider Name | Junaid I Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235186628 PECOS PAC ID: 5597793117 Enrollment ID: I20050803000693 |
| Provider Name | Amit Waghray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487677886 PECOS PAC ID: 6002846961 Enrollment ID: I20050819000568 |
| Provider Name | Gita Jafari-raske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043270226 PECOS PAC ID: 4981637436 Enrollment ID: I20050914001282 |
| Provider Name | Chuck S Mangubat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023084464 PECOS PAC ID: 4385678572 Enrollment ID: I20050927000525 |
| Provider Name | Raj K Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609839737 PECOS PAC ID: 8628033818 Enrollment ID: I20050927000544 |
| Provider Name | Yagnesh B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235105487 PECOS PAC ID: 0143255331 Enrollment ID: I20050927000590 |
| Provider Name | Nisar Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023084266 PECOS PAC ID: 1850381112 Enrollment ID: I20050927000614 |
| Provider Name | Deb K Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629044854 PECOS PAC ID: 0749215937 Enrollment ID: I20050927000626 |
| Provider Name | Ramesh Ramaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144310863 PECOS PAC ID: 8628096088 Enrollment ID: I20051104000282 |
| Provider Name | Saroj N Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457312563 PECOS PAC ID: 7719907369 Enrollment ID: I20051129000332 |
| Provider Name | Anne Borik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023000486 PECOS PAC ID: 4082628920 Enrollment ID: I20060131000594 |
| Provider Name | Lee M Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508851841 PECOS PAC ID: 5890789648 Enrollment ID: I20060303000188 |
| Provider Name | Fariya A Bukhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477595296 PECOS PAC ID: 5294744579 Enrollment ID: I20060413000638 |
| Provider Name | Lourdes Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215970264 PECOS PAC ID: 8426060872 Enrollment ID: I20060629000122 |
| Provider Name | Wookjin Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689688699 PECOS PAC ID: 7012911134 Enrollment ID: I20060901000395 |
| Provider Name | Mahmood R Shahlapour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336106152 PECOS PAC ID: 4486654266 Enrollment ID: I20061229000024 |
| Provider Name | Mohammad Annaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962481168 PECOS PAC ID: 1658385638 Enrollment ID: I20070228000148 |
| Provider Name | Neha Maheshwari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033212915 PECOS PAC ID: 7719052265 Enrollment ID: I20080818000353 |
| Provider Name | Neeta P Panse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073667358 PECOS PAC ID: 0345325015 Enrollment ID: I20080923000842 |
| Provider Name | Jyothi Punnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407066988 PECOS PAC ID: 1355418518 Enrollment ID: I20080930000467 |
| Provider Name | Yamine Saddouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669655007 PECOS PAC ID: 8224196902 Enrollment ID: I20081024000180 |
| Provider Name | Nagaraju Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639168487 PECOS PAC ID: 6002976099 Enrollment ID: I20081125000134 |
| Provider Name | Afshin Deyhimpanah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366650186 PECOS PAC ID: 0143381079 Enrollment ID: I20081210000234 |
| Provider Name | Cezanne F Bermeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558543744 PECOS PAC ID: 5597812529 Enrollment ID: I20090409000091 |
| Provider Name | Kern K Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740460005 PECOS PAC ID: 7911061148 Enrollment ID: I20090817000800 |
| Provider Name | Fadi Makdesi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639393051 PECOS PAC ID: 9234284357 Enrollment ID: I20090825000780 |
| Provider Name | Edward C Markman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033327119 PECOS PAC ID: 4789739582 Enrollment ID: I20090831000454 |
| Provider Name | Lalith Kumar Gande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821275082 PECOS PAC ID: 2466598040 Enrollment ID: I20091013000289 |
| Provider Name | Anthony A Aghenta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316084130 PECOS PAC ID: 5698813749 Enrollment ID: I20091110000247 |
| Provider Name | Aikaterini Boukouvala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417287822 PECOS PAC ID: 6002943909 Enrollment ID: I20100426000201 |
| Provider Name | Marietta L Uy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891781290 PECOS PAC ID: 3476684507 Enrollment ID: I20100706000369 |
| Provider Name | Ronald Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588604797 PECOS PAC ID: 5193626406 Enrollment ID: I20100928001704 |
| Provider Name | Humaira Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548453236 PECOS PAC ID: 7719171719 Enrollment ID: I20101103001296 |
| Provider Name | Linda M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558543678 PECOS PAC ID: 7517153422 Enrollment ID: I20101117001570 |
| Provider Name | Robert B Arashahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003995457 PECOS PAC ID: 8426016320 Enrollment ID: I20110113000773 |
| Provider Name | Richard E Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952617201 PECOS PAC ID: 5890979116 Enrollment ID: I20110412000417 |
| Provider Name | Rhodney Neira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104146737 PECOS PAC ID: 9537338819 Enrollment ID: I20110802000449 |
| Provider Name | Harshdeep Singh Babbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447573191 PECOS PAC ID: 1759551559 Enrollment ID: I20110906000386 |
| Provider Name | Sang H Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326208992 PECOS PAC ID: 9335310986 Enrollment ID: I20110912000790 |
| Provider Name | Richard H Nierenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598870628 PECOS PAC ID: 7315837341 Enrollment ID: I20111005000015 |
| Provider Name | Pavan Kumar Tiyyagura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366757361 PECOS PAC ID: 8820262470 Enrollment ID: I20111208000473 |
| Provider Name | Kamron Latif Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295910099 PECOS PAC ID: 5698942357 Enrollment ID: I20120120000105 |
| Provider Name | James B Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801039680 PECOS PAC ID: 7113198003 Enrollment ID: I20120801000741 |
| Provider Name | Suha Ayoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427387422 PECOS PAC ID: 6709032188 Enrollment ID: I20120820000435 |
| Provider Name | Anitha Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932363876 PECOS PAC ID: 9638329253 Enrollment ID: I20121017000183 |
| Provider Name | Amruta A Vadnerkar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114165008 PECOS PAC ID: 2365566452 Enrollment ID: I20121105000355 |
| Provider Name | Yessica R Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730496274 PECOS PAC ID: 7810148103 Enrollment ID: I20121114000382 |
| Provider Name | Kranthi Andhavarapu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396040655 PECOS PAC ID: 5698928877 Enrollment ID: I20130122000259 |
| Provider Name | Muzna Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558691493 PECOS PAC ID: 0244476562 Enrollment ID: I20130411000200 |
| Provider Name | Attila Mady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063478188 PECOS PAC ID: 2769576990 Enrollment ID: I20130610000759 |
| Provider Name | Parham Ayazi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205151289 PECOS PAC ID: 6103068085 Enrollment ID: I20130805000869 |
| Provider Name | Enas Khanneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487078655 PECOS PAC ID: 6406178474 Enrollment ID: I20141202000364 |
| Provider Name | Preethi Subramanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760731863 PECOS PAC ID: 5294057220 Enrollment ID: I20141202002512 |
| Provider Name | Ava Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881968733 PECOS PAC ID: 3971823246 Enrollment ID: I20150528000767 |
| Provider Name | Shawn Fazel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861444986 PECOS PAC ID: 4082659149 Enrollment ID: I20150929000850 |
| Provider Name | Samina A Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629402342 PECOS PAC ID: 0143530113 Enrollment ID: I20151103000880 |
| Provider Name | Fiza N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619312899 PECOS PAC ID: 1658666946 Enrollment ID: I20160825001697 |
| Provider Name | Jyothsna Talluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689830911 PECOS PAC ID: 3779761259 Enrollment ID: I20161206002408 |
| Provider Name | Imran Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902098254 PECOS PAC ID: 3072736305 Enrollment ID: I20170518002380 |
| Provider Name | Fadi Arodaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720499023 PECOS PAC ID: 5092084723 Enrollment ID: I20170828002082 |
| Provider Name | Marisa Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144743899 PECOS PAC ID: 2062785272 Enrollment ID: I20170911002097 |
| Provider Name | Mohammad A Abdulrasool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053738096 PECOS PAC ID: 4284909581 Enrollment ID: I20171012003289 |
| Provider Name | Tomasz Krolikowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487041935 PECOS PAC ID: 4981915261 Enrollment ID: I20180920002868 |
| Provider Name | Geraldine M Casino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669850954 PECOS PAC ID: 3173874146 Enrollment ID: I20181002000631 |
| Provider Name | Ruyam Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215319314 PECOS PAC ID: 4385996107 Enrollment ID: I20181005001595 |
| Provider Name | Yasir M Rudha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861888315 PECOS PAC ID: 8628322856 Enrollment ID: I20181107000294 |
| Provider Name | Scott M Rebich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366820383 PECOS PAC ID: 7810238391 Enrollment ID: I20190410001131 |
| Provider Name | Snigdha Putta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770999351 PECOS PAC ID: 3971855586 Enrollment ID: I20190619000751 |
| Provider Name | Felecia Y Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962058818 PECOS PAC ID: 1355773219 Enrollment ID: I20191114000345 |
| Provider Name | Atika Nayeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336596691 PECOS PAC ID: 3577841337 Enrollment ID: I20191217002202 |
| Provider Name | Renee Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946071 PECOS PAC ID: 6002242351 Enrollment ID: I20200204002016 |
| Provider Name | Deepa Mandale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932620507 PECOS PAC ID: 0446677264 Enrollment ID: I20200825002472 |
| Provider Name | Shyam P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194104703 PECOS PAC ID: 5294073524 Enrollment ID: I20201013002304 |
| Provider Name | Ali Imran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861929580 PECOS PAC ID: 9537430046 Enrollment ID: I20201117000195 |
| Provider Name | Samantha D King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952939985 PECOS PAC ID: 9638586829 Enrollment ID: I20210406002286 |
| Provider Name | Ankita Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265870935 PECOS PAC ID: 2769623107 Enrollment ID: I20210412001146 |
| Provider Name | Julius Larosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780605071 PECOS PAC ID: 2466477997 Enrollment ID: I20210419000564 |
| Provider Name | Zachary R Boisselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720686090 PECOS PAC ID: 3173923406 Enrollment ID: I20210608003006 |
| Provider Name | Alex Milciades Cano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770902058 PECOS PAC ID: 5092933168 Enrollment ID: I20210712003747 |
| Provider Name | Bradley Geyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740696640 PECOS PAC ID: 7810202603 Enrollment ID: I20210816004053 |
| Provider Name | Jismi Theeyattuveli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285229534 PECOS PAC ID: 0446655625 Enrollment ID: I20210826000869 |
| Provider Name | Hillary B Derose-caldera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972090777 PECOS PAC ID: 7517363518 Enrollment ID: I20210830003189 |
| Provider Name | Ali Alkhayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265952576 PECOS PAC ID: 2769742451 Enrollment ID: I20211011002069 |
| Provider Name | Amit Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306266523 PECOS PAC ID: 9133551427 Enrollment ID: I20220119002132 |
| Provider Name | Oluwaseun Omole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497339220 PECOS PAC ID: 9436545647 Enrollment ID: I20220414001605 |
| Provider Name | Gurbir Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891178521 PECOS PAC ID: 7214229251 Enrollment ID: I20220523002302 |
| Provider Name | John Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235628033 PECOS PAC ID: 7315327988 Enrollment ID: I20220629002594 |
| Provider Name | James A Hickok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326707845 PECOS PAC ID: 7315328804 Enrollment ID: I20220714002423 |
| Provider Name | Meghan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679232839 PECOS PAC ID: 7214310606 Enrollment ID: I20220817003176 |
| Provider Name | Moon Moon Narukonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437532751 PECOS PAC ID: 3072864214 Enrollment ID: I20221004001591 |
| Provider Name | Tiba Alwardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619396843 PECOS PAC ID: 2466755632 Enrollment ID: I20230728002924 |
| Provider Name | Mustafa Al-damha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659993467 PECOS PAC ID: 0244655603 Enrollment ID: I20230823002212 |
| Provider Name | Ranae Dina Arlene Antoine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548642069 PECOS PAC ID: 3476857400 Enrollment ID: I20231016001007 |
| Provider Name | Danielle Prince-rosenkrans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417991092 PECOS PAC ID: 5496814816 Enrollment ID: I20231018001246 |
Santan Health Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2181 E Pecos Rd, Suite 1, Chandler, AZ 85225 Phone: 480-398-3638 Fax: 480-398-3643 | |
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Ocotillo Dermatology, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3930 S Alma School Rd Ste 8, Chandler, AZ 85248 Phone: 480-917-4815 Fax: 480-963-2654 |