| Allahdadi Md Inc | |
|
400 W Pueblo St Santa Barbara CA 93105-4353 | |
| (916) 547-9410 | |
| (805) 569-8358 |
| Full Name | Allahdadi Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 W Pueblo St, Santa Barbara, California |
| Authorized Official Name and Position | Bashir Allahdadi (OWNER) |
| Authorized Official Contact | 9165479410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allahdadi Md Inc 836 Anacapa St P.o. Box 22336 Santa Barbara CA 93121 Ph: (916) 547-9410 | Allahdadi Md Inc 400 W Pueblo St Santa Barbara CA 93105-4353 Ph: (916) 547-9410 |
| NPI Number | 1396318390 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 12/16/2022 |
| Medicare PECOS PAC ID | 9032512975 |
|---|---|
| Medicare Enrollment ID | O20210729001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396318390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bashir Allahdadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134616766 PECOS PAC ID: 3577966415 Enrollment ID: I20210809001273 |
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