| Valley Primary Care Physicians | |
|
1728 W Glendale Ave Ste 301 Phoenix AZ 85021 | |
| (602) 864-6828 | |
| (602) 864-8889 |
| Full Name | Valley Primary Care Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 1728 W Glendale Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Razem Motamedi (OFFICE MGR) |
| Authorized Official Contact | 6028646828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Primary Care Physicians 1728 W Glendale Ave Ste 301 Phoenix AZ 85021 Ph: (602) 864-6828 | Valley Primary Care Physicians 1728 W Glendale Ave Ste 301 Phoenix AZ 85021 Ph: (602) 864-6828 |
| NPI Number | 1639198674 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 03/13/2015 |
| Medicare PECOS PAC ID | 0244221158 |
|---|---|
| Medicare Enrollment ID | O20040520000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639198674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Khosrow Nafisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548289580 PECOS PAC ID: 8729132790 Enrollment ID: I20101025001186 |
| Provider Name | Carlos Garreton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285653212 PECOS PAC ID: 5294864419 Enrollment ID: I20101025001298 |
| Provider Name | Alvin E Goldansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104846914 PECOS PAC ID: 4385773506 Enrollment ID: I20101025001368 |
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