Organization
PRIME MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FNU PRANAV MD (OWNER / FOUNDER)
(480) 870-0699
Entity
Organization
Contact information
Practice address
700 N ESTRELLA PKWY STE 200, GOODYEAR, AZ 85338-9330
(480) 870-0699
(480) 870-0695
Mailing address
700 N ESTRELLA PKWY STE 200, GOODYEAR, AZ 85338-9330
(480) 870-0699
(480) 870-0695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35727
LICENSE
AZ
Enumeration date
07/20/2022
Last updated
07/20/2022
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