| Rheumatology & Arthritis Consultants, Pllc | |
|
1980 Mesquite Ave Suite 103 Lake Havasu City AZ 86403-7713 | |
| (928) 680-4255 | |
| (928) 680-4256 |
| Full Name | Rheumatology & Arthritis Consultants, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1980 Mesquite Ave, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Rajithia Laleendra Premaratne (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9286804255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rheumatology & Arthritis Consultants, Pllc 1980 Mesquite Ave Suite 103 Lake Havasu City AZ 86403-7713 Ph: (928) 680-4255 | Rheumatology & Arthritis Consultants, Pllc 1980 Mesquite Ave Suite 103 Lake Havasu City AZ 86403-7713 Ph: (928) 680-4255 |
| NPI Number | 1023371622 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 5890945372 |
|---|---|
| Medicare Enrollment ID | O20121017000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023371622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
| Provider Name | Rajithia L Premaratne |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497965594 PECOS PAC ID: 8325298805 Enrollment ID: I20121017000969 |
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