| Voyage Medical Primary Care | |
|
1130 W Grove Ave Ste 115 Mesa AZ 85210-4942 | |
| (480) 685-0930 | |
| Not Available |
| Full Name | Voyage Medical Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1130 W Grove Ave Ste 115, Mesa, Arizona |
| Authorized Official Name and Position | Ali Imran (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4806850930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Voyage Medical Primary Care 2402 S Rural Rd Ste 101 Tempe AZ 85282-2455 Ph: (480) 516-5819 | Voyage Medical Primary Care 1130 W Grove Ave Ste 115 Mesa AZ 85210-4942 Ph: (480) 685-0930 |
| NPI Number | 1003595364 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 1052761616 |
|---|---|
| Medicare Enrollment ID | O20240125002503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003595364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ali Imran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861929580 PECOS PAC ID: 9537430046 Enrollment ID: I20201117000195 |
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