| Chandler Family Care | |
|
20713 E Ocotillo Rd Ste 100 Queen Creek AZ 85142-6117 | |
| (480) 882-9993 | |
| (480) 248-2377 |
| Full Name | Chandler Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 20713 E Ocotillo Rd Ste 100, Queen Creek, Arizona |
| Authorized Official Name and Position | Rajiv Shah (CEO / OWNER) |
| Authorized Official Contact | 4805796197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler Family Care 20713 E Ocotillo Rd Ste 100 Queen Creek AZ 85142-6117 Ph: (480) 882-9993 | Chandler Family Care 20713 E Ocotillo Rd Ste 100 Queen Creek AZ 85142-6117 Ph: (480) 882-9993 |
| NPI Number | 1598266710 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 4789947003 |
|---|---|
| Medicare Enrollment ID | O20180418001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598266710 | NPI | - | NPPES |
| PENDING | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
| Provider Name | Mitchell J Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447223565 PECOS PAC ID: 8123017506 Enrollment ID: I20050929000481 |
| Provider Name | Nathan M Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093763377 PECOS PAC ID: 3375564834 Enrollment ID: I20051212000708 |
| Provider Name | Matthew John Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720536642 PECOS PAC ID: 9133407869 Enrollment ID: I20161031001155 |
| Provider Name | Jenny Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649628280 PECOS PAC ID: 3072806793 Enrollment ID: I20170504001270 |
| Provider Name | Robert Claflin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164959441 PECOS PAC ID: 2163792318 Enrollment ID: I20210820001021 |
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