| Westside Internal Medicine Pc | |
|
13921 W Grand Ave Ste 502 Surprise AZ 85374-2439 | |
| (623) 214-2200 | |
| (623) 214-2208 |
| Full Name | Westside Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13921 W Grand Ave, Surprise, Arizona |
| Authorized Official Name and Position | Ramit Kahlon (PRESIDENT) |
| Authorized Official Contact | 6232142200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Internal Medicine Pc 13921 W Grand Ave Ste 502 Surprise AZ 85374-2439 Ph: (623) 214-2200 | Westside Internal Medicine Pc 13921 W Grand Ave Ste 502 Surprise AZ 85374-2439 Ph: (623) 214-2200 |
| NPI Number | 1760686356 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 03/10/2008 |
| Medicare PECOS PAC ID | 4486634680 |
|---|---|
| Medicare Enrollment ID | O20040720000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760686356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ramit Kahlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841267614 PECOS PAC ID: 0244255636 Enrollment ID: I20051014000449 |
| Provider Name | Rikesh R Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396966743 PECOS PAC ID: 2466546247 Enrollment ID: I20070925000038 |
| Provider Name | Roy J Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770699308 PECOS PAC ID: 7315931235 Enrollment ID: I20150826002698 |
| Provider Name | Kaylan J Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972073013 PECOS PAC ID: 7517205289 Enrollment ID: I20190205003133 |
| Provider Name | Charles P Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801487061 PECOS PAC ID: 4183031115 Enrollment ID: I20210318001287 |
| Provider Name | Fauntily D Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114551603 PECOS PAC ID: 4385049139 Enrollment ID: I20210817004194 |
| Provider Name | Luz Navarrete Noriega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750001772 PECOS PAC ID: 8325405343 Enrollment ID: I20230607001215 |
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