Demetrio B Mamani (NPI# 1598788499, PAC ID# 6406885664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1598788499 |
| PAC ID by PECOS | 6406885664 |
| Professional Enrollment ID | I20050808000807 |
| Full Name | Demetrio B Mamani |
| Organization Legal Name | PALO VERDE HEMATOLOGY ONCOLOGY LTD |
| Address |
5601 W Eugie Suite 106 Glendale AZ 85304-1256 |
| Phone Number | 6029786255 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 6406840131 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030089 | BANNER THUNDERBIRD MEDICAL CENTER |
| 030030 | ABRAZO CENTRAL CAMPUS |
| 030094 | ARROWHEAD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 | 6029786255 | PALO VERDE HEMATOLOGY ONCOLOGY LTD |
| Organization Legal Name | PALO VERDE HEMATOLOGY ONCOLOGY LTD |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Jones | Urology | Palo Verde Hematology Oncology Ltd | 10290 N 92nd St, Suite 207, Scottsdale, AZ 85258-4500 |
| Castillanna Nicole Loya | Physician Assistant | Palo Verde Hematology Oncology Ltd | 20940 N Tatum Blvd, Suite 350, Phoenix, AZ 85050-7244 |
| Kathryn Leigh Miller | Nurse Practitioner | Palo Verde Hematology Oncology Ltd | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2629 |
| Danielle L Moller | Physician Assistant | Palo Verde Hematology Oncology Ltd | 1488 W Elliot Rd, Gilbert, AZ 85233-5196 |
| Adam Todd Kramer | Anesthesiology | Palo Verde Hematology Oncology Ltd | 13090 N 94th Dr, Suite 212, Peoria, AZ 85381-4258 |
| Rajinder S Grover | Hematology | Palo Verde Hematology Oncology Ltd | 7373 N Scottsdale Rd, E100, Scottsdale, AZ 85253-3544 |
| Aaron W Latowsky | Urology | Palo Verde Hematology Oncology Ltd | 20201 N Healthcare Rd, Scottsdale, AZ 85255-4140 |
| Jennifer L Klauschie | Obstetrics/gynecology | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Beth I Sanchez | Qualified Audiologist | Palo Verde Hematology Oncology Ltd | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2629 |
| Mark W Grimmett | Physician Assistant | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Street Address |
5601 W EUGIE SUITE 106 |
| City | GLENDALE |
| State | AZ |
| Zip | 85304-1256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Klauschie | Obstetrics/gynecology | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Mark W Grimmett | Physician Assistant | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Debra D Sullivan | Physician Assistant | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Amol N Rakkar | Hematology/oncology | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Mary Joy D Balbarino | Nurse Practitioner | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Karla Melissa Munoz | Physician Assistant | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Paul M Papoff | Urology | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Jeffrey A Stern | Urology | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Chandan R. Kundavaram | Urology | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Allison Leigh Parent | Nurse Practitioner | Palo Verde Hematology Oncology Ltd | 5601 W Eugie, Suite 106, Glendale, AZ 85304-1256 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Young W Kahn | Physical Medicine and Rehabilitation | 13460 N 67th Ave, Glendale, AZ 85304-1000 | |
| Christopher P Barnes | Physical Medicine and Rehabilitation | 13460 N 67th Ave, Glendale, AZ 85304-1000 | |
| Alison E.f Reuter | Psychologist, Clinical | 13460 N 67th Ave, Healthsouth Valley of The Sun Rehabilitation Hospital, Glendale, AZ 85304-1000 | |
| Michael L Kravetz | Physical Medicine and Rehabilitation | 13460 N 67th Ave, Glendale, AZ 85304-1000 | |
| Harjot Brar | Oral Surgery | 10630 N 59th Ave, Suite 101, Glendale, AZ 85304-1239 | |
| Michael J Bennington | Family Medicine | Cigna Healthcare of Arizona Inc | 5891 W Eugie Ave, Cmg Paseo Urgent Care Cmg Paseo Ahc, Glendale, AZ 85304-1252 |
| Rao R Gudapati | Internal Medicine | Cigna Healthcare of Arizona Inc | 5891 W Eugie Ave, Cmg Paseo Healthcare Center Paseo, Glendale, AZ 85304-1252 |
| Daniel J Weiler | Family Medicine | Cigna Healthcare of Arizona Inc | 5891 W Eugie Ave, Cmg Paseo Urgent Care Cmg Paseo Ahc, Glendale, AZ 85304-1252 |
| May H Mohty | Pediatric Medicine | Cigna Healthcare of Arizona Inc | 5891 W Eugie Ave, Cmg Paseo Urgent Care Cmg Paseo Ahc, Glendale, AZ 85304-1252 |
| Janet D Tate Brown | Nurse Practitioner | Cigna Healthcare of Arizona Inc | 5891 W Eugie Ave, Cmg Paseo Healthcare Center Paseo, Glendale, AZ 85304-1252 |
| Find all physicians in zip 85304 | |||
| City | GLENDALE |
| Zip Code | 85304 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | GLENDALE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Demetrio B Mamani.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.