Dr Michelle Soraya Pourtabib, MD | |
10121 Pine Ave, Truckee, CA 96161-4856 | |
(530) 582-3485 | |
Not Available |
Full Name | Dr Michelle Soraya Pourtabib |
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Gender | Female |
Speciality | Family Medicine |
Location | 10121 Pine Ave, Truckee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003398611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A177647 (California) | Primary |
Entity Name | Tahoe Forest Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
Mailing Address | Practice Location Address |
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Dr Michelle Soraya Pourtabib, MD 10121 Pine Ave, Truckee, CA 96161-4856 Ph: (530) 582-3485 | Dr Michelle Soraya Pourtabib, MD 10121 Pine Ave, Truckee, CA 96161-4856 Ph: (530) 582-3485 |
Aaron Ulland, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Paul K Krause, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10115 W River St, Truckee, CA 96161 Phone: 530-581-8864 | |
Dr. Jeanne Murphy Plumb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10115 W River St, Truckee, CA 96161 Phone: 530-581-8864 Fax: 530-583-1826 | |
Nicole Mccrory Constantz Jernick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-582-6432 Fax: 530-582-6430 | |
Catherine Colpitts, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Reini Jensen, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10115 W River St, Truckee, CA 96161 Phone: 530-581-8864 |