Humayun Mohammed Popal, FNP | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-5498 | |
Not Available |
Full Name | Humayun Mohammed Popal |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 101 Bodin Cir, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831773498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95137922 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95016735 (California) | Primary |
Entity Name | Gill Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578149076 PECOS PAC ID: 9234539560 Enrollment ID: O20210608003117 |
Mailing Address | Practice Location Address |
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Humayun Mohammed Popal, FNP 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5498 | Humayun Mohammed Popal, FNP 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5498 |
Brandy J Ellis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Missouri Way, Travis Afb, CA 94535 Phone: 478-235-4354 | |
Samantha Obrien, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5124 | |
Ann Marie Zenobia, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7927 | |
Yardana Gill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357 | |
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894 | |
Zlatoslava Karga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311 |