OrganizationEffideen Ameerally Md Pc(The Medical Clinic)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address7436 E Main St, Ste 2, Mesa, AZ 85207-8338(480) 325-9600PECOS EnrollmentBased on the most recent information from CMS, provider Effideen Ameerally Md Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1891740296Provider TypeOrganizationFull NameEffideen Ameerally Md PcOther NameThe Medical ClinicSubpartNoEnumeration Date5/23/2006Last Updated9/2/2022Contact InformationPractice LocationPractice Address7436 E Main St, Ste 2, Mesa, AZ 85207-8338Phone(480) 325-9600Fax(480) 907-2355Mailing LocationMailing Address7436 E Main St Ste 2, Mesa, AZ 85207-9338Phone(480) 325-9600Fax(480) 712-4948Authorized OfficialNamePatel, Amit (Owner)Phone(405) 921-2503Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense17561ArizonaCode208VP0000XDescriptionPain MedicineAllopathic & Osteopathic PhysiciansLicense17561ArizonaProvider IdentifiersIDDescriptionIssuerID496178DescriptionMedicaidIssuerUnlistedArizona