| United Mobile Group Llc | |
|
4022 E Presidio St Mesa AZ 85215-1113 | |
| (480) 985-1093 | |
| (480) 296-7647 |
| Full Name | United Mobile Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4022 E Presidio St, Mesa, Arizona |
| Authorized Official Name and Position | Waqas Qamar (PRESIDENT) |
| Authorized Official Contact | 4809851093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Mobile Group Llc Po Box 20610 Mesa AZ 85277-0610 Ph: (480) 985-1093 | United Mobile Group Llc 4022 E Presidio St Mesa AZ 85215-1113 Ph: (480) 985-1093 |
| NPI Number | 1376328245 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 9436508892 |
|---|---|
| Medicare Enrollment ID | O20231211000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376328245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chaim G Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396168787 PECOS PAC ID: 6103040449 Enrollment ID: I20140606001483 |
| Provider Name | Waqas A Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447517503 PECOS PAC ID: 2860700812 Enrollment ID: I20150924002539 |
| Provider Name | Amy Alvis White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679112106 PECOS PAC ID: 3779995667 Enrollment ID: I20201217001941 |
| Provider Name | Marie Ekren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417415183 PECOS PAC ID: 7214336841 Enrollment ID: I20210601001940 |
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