Adult Internal Medicine of Yuma Inc
Organization Active NPI Internal Medicine Physician · Yuma, AZ
NPI 1205949062 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1205949062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 32732 (AZ)
- Legal business name
- ADULT INTERNAL MEDICINE OF YUMA INC
- Practice address
- 2120 W 24TH St
#A
Yuma, AZ 85364 - Phone
- (928) 782-6015
- Fax
- (928) 782-1936
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Manith Mann, MD
- Title
- President
- Phone
- (928) 782-6015
Practitioners 1
-
Manith Mann, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041004001100 | AZ | Part B Supplier - Clinic/Group Practice | 1658330840 |
Receives reassigned benefits from 1 practitioner Practice locations: Yuma, AZ |
National Provider Directory
Locations
2120 W 24th St
Ste A
Yuma, AZ 85364
Phone (928) 782-6015
1220 W 24th St
Ste 2
Yuma, AZ 85364
Phone (928) 314-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 32732 | AZ | Yes |
Addresses
Primary practice location
2120 W 24TH St
#A
Yuma, AZ 85364
Mailing address
2120 W 24TH St
#A
Yuma, AZ 85364
Phone (928) 782-6015
Other providers in Yuma, AZ
- Olufunso Josephine Adeniran
- Carolyne Adero
- Asmerom Adhanom
- Adobe Eyecare Center PLLC
- Adrienne Gutierrez, MD SC
- Advance Pediatrics
- Advanced Anesthesia Group, LLC
- Advanced Audiology & Hearing AIDS
- Advanced CT LLC
- Advanced Home Healthcare Services of Yuma,L.L.C
All providers in Yuma, 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 May 18, 2022. 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.