| Advanced Internal Medicine Associates, Inc | |
|
1111 W 4th St Bld B Madera CA 93637-4474 | |
| (559) 662-2700 | |
| (559) 673-1588 |
| Full Name | Advanced Internal Medicine Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 W 4th St, Madera, California |
| Authorized Official Name and Position | Allan T Nassar (PRESIDENT) |
| Authorized Official Contact | 5596622700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medicine Associates, Inc 1111 W 4th St Bld B Madera CA 93637-4474 Ph: (559) 662-2700 | Advanced Internal Medicine Associates, Inc 1111 W 4th St Bld B Madera CA 93637-4474 Ph: (559) 662-2700 |
| NPI Number | 1598187486 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 01/10/2014 |
| Medicare PECOS PAC ID | 0648402578 |
|---|---|
| Medicare Enrollment ID | O20140408001746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598187486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Allan T Nassar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033129135 PECOS PAC ID: 4981765674 Enrollment ID: I20081213000121 |
| Provider Name | Steven J Gustaveson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598777559 PECOS PAC ID: 4688736135 Enrollment ID: I20081218000003 |
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