| 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 | () | Primary |
| Provider Name | Sharilyn M Dalton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902942758 PECOS PAC ID: 1052352960 Enrollment ID: I20050519001125 |
| 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 | Mark Daniel Cagle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255950127 PECOS PAC ID: 9931528411 Enrollment ID: I20201001003384 |
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