Mithu S Molla, MD | |
4150 V St, Suite 3400, Sacramento, CA 95817-1460 | |
(916) 734-7506 | |
Not Available |
Full Name | Mithu S Molla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 4150 V St, Sacramento, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508943432 | NPI | - | NPPES |
00A813430 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A81343 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of California Davis Medical Center | Sacramento, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The Univ Of Ca | 3375456619 | 1360 |
Entity Name | Regents Of The Univ Of Ca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | Lodi Memorial Hospital Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
Mailing Address | Practice Location Address |
---|---|
Mithu S Molla, MD 4150 V Street, Suite 3400, Uc Davis Medical Center, Pssb, Sacramento, CA 95817 Ph: (916) 734-7506 | Mithu S Molla, MD 4150 V St, Suite 3400, Sacramento, CA 95817-1460 Ph: (916) 734-7506 |
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