Mmc Doc Md Llc

LBN: Mmc Doc Md Llc
Mmc Doc Md Llc is an health care organization with primary practice located at 13216 N Plaza Del Rio Blvd , Peoria AZ 85381-4907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as the primary health care specialty. Mmc Doc Md Llc can be contacted via phone (623) 977-5003, or through Reddy, Srinivasa via phone (623) 341-6539.

Contact Information

Primary practice address
13216 N Plaza Del Rio Blvd Peoria AZ 85381-4907
Phone: (623) 977-5003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Srinivasa Doctor of Medicine (MD)
Phone: (623) 341-6539

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34403 Arizona

Profile Details

NPI number 1427309293
LBN Legal business name Mmc Doc Md Llc
DBA Doing business as
Authorized official Reddy, Srinivasa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427309293 NPPES
Arizona Other 956740 AHCCCS ID - AZ MEDICAID

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