Provider Type Icon

KEYSTONE MEDICAL PLLC NPI 1477975647


NPI Information

NPI: 1477975647
Provider Name: KEYSTONE MEDICAL, PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
77 CALLE PORTAL
SUITE B260A
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 226-4338
Get Directions

KEYSTONE MEDICAL, PLLC is an internal medicine in Sierra Vista, AZ. The provider is 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. KEYSTONE MEDICAL, PLLC NPI is 1477975647. The provider is registered as an organization entity type.

The provider's business location address is:

77 CALLE PORTAL
SUITE B260A
SIERRA VISTA, AZ
ZIP 85635-967
Phone: (520) 226-4338
Fax: (520) 515-9786

The provider's authorized official is Rebecca Pradhan-nara .
The authorized official title is Sole Member and has the following contact phone number (520) 266-4338.

The enumeration date for this NPI number is 1/7/2014 and was last updated on 1/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility32180ARIZONANo
2314000000XSkilled Nursing Facility32180ARIZONANo
3207R00000XInternal Medicine32180ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z165746MEDICARE UPINARIZONA
2897280MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.