Provider Demographics
NPI:1417181348
Name:KEYAMED, INC A P C
Entity Type:Organization
Organization Name:KEYAMED, INC A P C
Other - Org Name:DBA NEW ERA FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PARAG
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-362-4958
Mailing Address - Street 1:PO BOX 2186
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85636-2186
Mailing Address - Country:US
Mailing Address - Phone:520-439-0115
Mailing Address - Fax:520-458-3016
Practice Address - Street 1:126 S CORONADO DR STE B
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-6300
Practice Address - Country:US
Practice Address - Phone:520-439-0115
Practice Address - Fax:520-458-3016
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEYAMED INC A P C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-06
Last Update Date:2021-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty