Dr Komola Azimova Shaban, MD in Clovis, CA

Dr Komola Azimova Shaban, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Clovis, California. She went to Paul L Foster School Of Medicine, Texas Tech Univ and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 2071 Herndon Ave, Clovis, California. You can reach out to her office (for appointments etc.) via phone at (512) 650-6550.

Dr Komola Azimova Shaban is licensed to practice in California (license number A174548) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326495235.

Contact Information

	Dr Komola Azimova Shaban, MD
	2071 Herndon Ave, Clovis, CA 93611-6101
	(512) 650-6550
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Komola Azimova Shaban
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	2071 Herndon Ave, Clovis, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Komola Azimova Shaban attended and graduated from Paul L Foster School Of Medicine, Texas Tech Univ in 2016

NPI Data:

NPI Number: 1326495235
Provider Enumeration Date: 05/20/2016
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 8022301951
Enrollment ID: I20220517000325

Medical Identifiers

Medical identifiers for Dr Komola Azimova Shaban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326495235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	A174548 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Komola Azimova Shaban allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Komola Azimova Shaban is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Komola Azimova Shaban, MD 5319 Dupuy Cir, Temple City, CA 91780-3165 Ph: (512) 650-6550	Dr Komola Azimova Shaban, MD 2071 Herndon Ave, Clovis, CA 93611-6101 Ph: (512) 650-6550

Reviews and Comments

Family Medicine Doctors in Clovis, CA

Dr. Meenakshi Dhingra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2608 Fax: 559-299-1341
Dr. Nadia Javaid, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2006 Shaw Ave Ste 101, Clovis, CA 93611 Phone: 559-450-5880 Fax: 559-450-5881
Umair Khalid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2006 Shaw Ave, Clovis, CA 93611 Phone: 559-450-5880 Fax: 559-450-5881
Ms. Jyothi Ranga Patri, M.D., MHA Family Medicine Medicare: Medicare Enrolled Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2578
Jeffrey Todd Gardner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Fir Ave #101, Clovis, CA 93611 Phone: 559-299-7294 Fax: 559-299-0641
Kevin Wingert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2131 Herndon Ave Ste 101, Clovis, CA 93611 Phone: 559-297-3700 Fax: 559-297-3701
Marybeth Yuskavage, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Fir Ave, Suite 101, Clovis, CA 93611 Phone: 559-299-7294 Fax: 559-299-0641

Dr Komola Azimova Shaban, MD - Medicare Family Practice in Clovis, CA