Sun City Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUN CITY INTERNAL MEDICINE PLLC

Practice address

10503 W Thunderbird Blvd Ste 108
Sun City, AZ 85351-3047

Phone

(623) 248-5939

Fax

(623) 248-5939

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vidya Raman, MD

Title

Owner

Phone

(623) 248-5939

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DABJAD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Neville, M.D.

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  • Peoria, AZ
  • NPI 1457394199
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1285252510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10790",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180790",
            "telephone_number": "623-248-5939",
            "fax_number": "623-248-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 108",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513047",
            "telephone_number": "623-248-5939",
            "fax_number": "623-248-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "RAMAN",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-248-5939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.