| Red Sea Infectious Diseases, Llc | |
|
14502 W Meeker Blvd Physician Is A Hospitalist Sun City West AZ 85375-5282 | |
| (623) 974-6611 | |
| (623) 974-9434 |
| Full Name | Red Sea Infectious Diseases, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14502 W Meeker Blvd, Sun City West, Arizona |
| Authorized Official Name and Position | Samuel H Bairu (OWNER) |
| Authorized Official Contact | 6239746611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Sea Infectious Diseases, Llc 4410 W Union Hills Dr # 7, Pmb # 280 Glendale AZ 85308-1660 Ph: (623) 974-6611 | Red Sea Infectious Diseases, Llc 14502 W Meeker Blvd Physician Is A Hospitalist Sun City West AZ 85375-5282 Ph: (623) 974-6611 |
| NPI Number | 1285910943 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 5294994521 |
|---|---|
| Medicare Enrollment ID | O20120306000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285910943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 45091 (Arizona) | Primary |
| Provider Name | Samuel H Bairu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083828750 PECOS PAC ID: 1254590581 Enrollment ID: I20120306000929 |
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