| Rabadi Physicians PLLC | |
|
13575 W Mcdowell Rd Goodyear AZ 85395-2604 | |
| (623) 536-9911 | |
| Not Available |
| Full Name | Rabadi Physicians PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13575 W Mcdowell Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Salem Al Rabadi (PRESIDENT) |
| Authorized Official Contact | 9287885214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rabadi Physicians PLLC Po Box 2510 Mesa AZ 85214-2510 Ph: (928) 788-5214 | Rabadi Physicians PLLC 13575 W Mcdowell Rd Goodyear AZ 85395-2604 Ph: (623) 536-9911 |
| NPI Number | 1023891710 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 0941664122 |
|---|---|
| Medicare Enrollment ID | O20230907001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023891710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Salem R Al Rabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104388511 PECOS PAC ID: 1254666746 Enrollment ID: I20221227001018 |
| Provider Name | Nicholas Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780431007 PECOS PAC ID: 6002352184 Enrollment ID: I20240725000372 |
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