DR. BEREKET AZEZE GUANGUL (NPI# 1700190964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700190964 |
| Entity Type | Individual |
| Full Name | DR. BEREKET AZEZE GUANGUL |
| Credential | M.D. |
| Practice Address |
18701 N 67th Ave Glendale AZ 85308-7100 |
| Mailing Address |
Po Box 843763 Dallas TX 75284-3763 |
| Practice Telephone | 2350545906 |
| Practice Fax Number | 6239333383 |
| Mailing Telephone | 4805968525 |
| Mailing Fax Number | 4805968522 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 43772 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 605956 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8151 W Camino De Oro, Peoria, AZ 853835603 | 4802283133 | |
| 1930 E Thomas Rd, Phoenix, AZ 850167711 | 6235054590 | 6239333383 |
| Street Address |
18701 N 67TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278886 | Cyenthia Louise Koehler | Pathology | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2005-10-12 |
| 1578181186 | Emily Ann Kassman | Registered Nurse | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-07-09 |
| 1609499466 | Christine Gilbertson | Registered Nurse | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-05-27 |
| 1053931634 | General and Robotic Surgery LLC | Surgery | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-04-23 |
| 1609495530 | Thomas Mathew Pathiyil | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-04-10 |
| 1063041226 | Nikita Nalam | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-04-08 |
| 1992334163 | Sasikanth Nagisetty Ravi | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-04-08 |
| 1932738192 | Shahin Bhagwagar | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-04-08 |
| 1689293862 | Tushar Menon | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-04-08 |
| 1285263814 | Leena Malik | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| 1831704063 | New Horizon Medical Center, Inc. | Internal Medicine | 1101 N Pacific Ave Ste 103, Glendale, CA 91202-4312 | 2020-09-14 |
| 1043848062 | Jennifer Huddleston, Physician Assistant PC | Internal Medicine | 1560 E Chevy Chase Dr Ste 200, Glendale, CA 91206-4140 | 2020-03-27 |
| 1679120463 | Eruman, Pllc | Internal Medicine | 18275 N 59th Ave Ste G138, Glendale, AZ 85308-1260 | 2019-08-26 |
| 1033672738 | First Step Medical LLC | Internal Medicine | 5620 W Thunderbird Rd Ste E5, Glendale, AZ 85306-4651 | 2019-04-09 |
| 1760901375 | Western Medical LLC | Internal Medicine | 21554 N 57th Ave, Glendale, AZ 85308 | 2017-09-14 |
| 1487187910 | Daniel Adam Davis | Internal Medicine | 11851 N 51st Ave Ste B110, Glendale, AZ 85304-2823 | 2017-04-11 |
| 1104212422 | Robert Allen | Internal Medicine | 1731 N Pacific Ave, Glendale, CA 91202-1108 | 2015-04-14 |
| 1790185403 | Us Housecalls, Inc. | Internal Medicine | 7881 81st St, 1st Floor, Glendale, NY 11385-7652 | 2014-08-29 |
| 1265842389 | Hani Rashid | Internal Medicine | 5681 W Beverly Ln Ste 100, Glendale, AZ 85306-9800 | 2014-04-28 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.