| Sura Sharqe Endocrinology, Inc | |
|
6525 W. Sack Drive #204 Glendale AZ 85308 | |
| (623) 825-0237 | |
| (623) 825-0271 |
| Full Name | Sura Sharqe Endocrinology, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6525 W. Sack Drive, Glendale, Arizona |
| Authorized Official Name and Position | Momin Mohamed Gabir (PRESIDENT) |
| Authorized Official Contact | 6238250237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sura Sharqe Endocrinology, Inc Po Box 72327 Sura Sharqe Endocrinology, Inc Phoenix AZ 85050-1023 Ph: (623) 825-0237 | Sura Sharqe Endocrinology, Inc 6525 W. Sack Drive #204 Glendale AZ 85308 Ph: (623) 825-0237 |
| NPI Number | 1497829659 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 01/26/2009 |
| Medicare PECOS PAC ID | 3173590148 |
|---|---|
| Medicare Enrollment ID | O20040910000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497829659 | NPI | - | NPPES |
| 56505401 | Medicaid | AZ | |
| 565054 | Medicaid | AZ |
| Provider Name | Momin Gabir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396944393 PECOS PAC ID: 8426025404 Enrollment ID: I20040913000447 |
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