Mie Mie Soe, MD | |
4601 Dale Rd, Modesto, CA 95356-9718 | |
(209) 735-5000 | |
Not Available |
Full Name | Mie Mie Soe |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 4601 Dale Rd, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942649348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A139885 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mie Mie Soe, MD 1798 N Garey Ave, Pomona, CA 91767-2918 Ph: () - | Mie Mie Soe, MD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000 |
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Dr. Kyaw Yu San, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 Fax: 209-491-7587 | |
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Seth Ackuayi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
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