MEDICARE: AFFILIATED INTERNAL MEDICINE ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1346308533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFILIATED INTERNAL MEDICINE ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	13350 N 94TH DR
Second Line	:	SUITE A101
City	:	PEORIA
State	:	AZ
Zip	:	85381-4826
Country	:	US
Telephone Number	:	623-933-1010
Fax Number	:	623-933-3383

Provider Business Practice Location Address
First Line	:	13350 N 94TH DR
Second Line	:	SUITE A101
City	:	PEORIA
State	:	AZ
Zip	:	85381-4826
Country	:	US
Telephone Number	:	623-933-1010
Fax Number	:	623-933-3383

Authorized Official
Title or Position	:	OWNER
Name	:	MR. PERMINDER S SANGHERA
Credential	:	MD
Telephone Number	:	623-933-1010

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	05/09/2008

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