Arizona Inpatient Medicine Associates LLC
Organization Active NPI Internal Medicine Physician · Tucson, AZ
NPI 1083647754 · NPPES record last updated Dec 12, 2007
Key facts
- NPI
- 1083647754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 28771 (AZ)
- Legal business name
- ARIZONA INPATIENT MEDICINE ASSOCIATES LLC
- Practice address
- 7383 E Tanque Verde Rd
Tucson, AZ 85715-3475 - Phone
- (520) 318-3434
- Fax
- (520) 318-3435
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Guruprasad Raju, MD
- Title
- President
- Phone
- (520) 318-3434
Practitioners 115
-
Robert Betancourt, M.D.
-
Kevin Bolanos, DO
-
Rachel Bruckman, MD
-
David Joseph Byron, M.D.
-
Yuet-Ming Chan, MD
-
Bashar Domit, M.D.
-
Jonathan Ferng, MD, MBA, MS
-
Joel R Goldstone, MD
-
Ruru Idahosa, DO
-
Mansoor Jatoi, DO
-
Timothy S Johnson, M.D.
-
Kshipra A. Joshi, D.O
-
Ceon Kang, D.O
-
Michael Kedansky, MD
-
Atif M Khan, MD
-
Kevin M Khouie, MD
-
Douglas N Kirkpatrick, D.O.
-
Alfonso Llano, M.D.
-
Helen Jane Lyall, RN, NP
-
Philip Maharaj-Prasad, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041117000307 | AZ | Part B Supplier - Clinic/Group Practice | 4183688344 |
Receives reassigned benefits from 109 practitioners Practice locations: Tucson, AZ |
National Provider Directory
Locations
7220 E Rosewood St
Tucson, AZ 85710
Phone (520) 546-4595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 28771 | AZ | Yes |
Addresses
Primary practice location
7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Mailing address
PO Box 43130
Tucson, AZ 85733-3130
Phone (520) 722-3777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896780 | Medicaid | AZ |
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- Arizona Institute of Urology PLLC
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- Arizona Integrated Mobile Wellness LLC
All providers in Tucson, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.