| Sonoran Health Clinic Llc | |
|
1100 N El Dorado Pl Tucson AZ 85715-4606 | |
| (520) 526-2071 | |
| (520) 526-2068 |
| Full Name | Sonoran Health Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 N El Dorado Pl, Tucson, Arizona |
| Authorized Official Name and Position | Talal Alsbiei (MMEBER) |
| Authorized Official Contact | 5202406506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Health Clinic Llc 5120 N Camino Arenosa Tucson AZ 85718-6340 Ph: (520) 240-6506 | Sonoran Health Clinic Llc 1100 N El Dorado Pl Tucson AZ 85715-4606 Ph: (520) 526-2071 |
| NPI Number | 1285416891 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 12/09/2024 |
| Medicare PECOS PAC ID | 2466804695 |
|---|---|
| Medicare Enrollment ID | O20240123003424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285416891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Talal Alsbiei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740367549 PECOS PAC ID: 4082669023 Enrollment ID: I20050314000209 |
| Provider Name | Jessica Lee Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023564135 PECOS PAC ID: 6103114160 Enrollment ID: I20161007000955 |
| Provider Name | Mosab A Frefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659800977 PECOS PAC ID: 0244659696 Enrollment ID: I20201004000003 |
| Provider Name | Noelle Guiriba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972108082 PECOS PAC ID: 7618381161 Enrollment ID: I20210125003206 |
| Provider Name | Ahmed Mufeed Abuawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326533431 PECOS PAC ID: 2163882317 Enrollment ID: I20230719001766 |
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