| Prime Medical Care Pllc | |
|
700 N Estrella Pkwy Ste 200 Goodyear AZ 85338-9330 | |
| (480) 870-0699 | |
| (480) 870-0695 |
| Full Name | Prime Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 N Estrella Pkwy Ste 200, Goodyear, Arizona |
| Authorized Official Name and Position | Fnu Pranav (OWNER / FOUNDER) |
| Authorized Official Contact | 4808700699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medical Care Pllc 700 N Estrella Pkwy Ste 200 Goodyear AZ 85338-9330 Ph: (480) 870-0699 | Prime Medical Care Pllc 700 N Estrella Pkwy Ste 200 Goodyear AZ 85338-9330 Ph: (480) 870-0699 |
| NPI Number | 1215662564 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 0941684922 |
|---|---|
| Medicare Enrollment ID | O20220825002654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215662564 | NPI | - | NPPES |
| 35727 | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fnu Pranav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952327116 PECOS PAC ID: 5890795165 Enrollment ID: I20070110000510 |
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