Mr Muddassir Rizwan, | |
795 El Camino Real, Palo Alto, CA 94301-2302 | |
(650) 853-2977 | |
Not Available |
Full Name | Mr Muddassir Rizwan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 795 El Camino Real, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174971840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP95017417 (California) | Primary |
Entity Name | Millenium Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740443183 PECOS PAC ID: 9335201177 Enrollment ID: O20140219000247 |
Mailing Address | Practice Location Address |
---|---|
Mr Muddassir Rizwan, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 853-2977 | Mr Muddassir Rizwan, 795 El Camino Real, Palo Alto, CA 94301-2302 Ph: (650) 853-2977 |
Wendy Leigh Adams, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Lauren Genna Roos, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Mr. Christopher Gerard Gonzales, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 Miranda Ave, Emergency Department, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Sarah Davidson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 High St, Palo Alto, CA 94301 Phone: 415-663-5584 | |
Erin Danielle Herse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Christian Laparan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2977 | |
Theresa V Pittman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121 |