Affiliated Internal Medicine Associates, LLC
Organization Active NPI Internal Medicine Physician · Peoria, AZ
NPI 1346308533 · NPPES record last updated May 9, 2008
Key facts
- NPI
- 1346308533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- AFFILIATED INTERNAL MEDICINE ASSOCIATES, LLC
- Practice address
- 13350 N 94TH Dr
Suite A101
Peoria, AZ 85381-4826 - Phone
- (623) 933-1010
- Fax
- (623) 933-3383
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Perminder S Sanghera, MD
- Title
- Owner
- Phone
- (623) 933-1010
Member organizations 1
Practitioners 4
-
Jose M Angeles, MD
-
Thomas A Ateshim, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051005001318 | AZ | Part B Supplier - Clinic/Group Practice | 0244255560 |
Receives reassigned benefits from 4 practitioners Practice locations: Peoria, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
13350 N 94TH Dr
Suite A101
Peoria, AZ 85381-4826
Mailing address
13350 N 94TH Dr
Suite A101
Peoria, AZ 85381-4826
Phone (623) 933-1010
NPI Registry JSON
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210291200000",
"number": "1346308533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13350 N 94TH DR",
"address_2": "SUITE A101",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814826",
"telephone_number": "623-933-1010",
"fax_number": "623-933-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13350 N 94TH DR",
"address_2": "SUITE A101",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814826",
"telephone_number": "623-933-1010",
"fax_number": "623-933-3383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFILIATED INTERNAL MEDICINE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2008-05-09",
"status": "A",
"authorized_official_last_name": "SANGHERA",
"authorized_official_first_name": "PERMINDER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-933-1010",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
- Advanced Training Consultants LLC
- Advent LLC
- Aegis Medical Care of Az, PC
- Afc of Peoria, PLLC
- Afc of Peoria, PLLC
- Dominic Robert Affuso
- Jennifer Affuso
- Agape Primary Care, PLLC
- Pradeep Kumar Agarwal
- Rashi Agarwal
All providers in Peoria, 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 9, 2008. 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.