American Digestive Liver And Nutritional Disease Center | |
9870 Brimhall Rd Unit 100 Bakersfield CA 93312-2798 | |
(661) 588-8725 | |
(661) 588-8749 |
Full Name | American Digestive Liver And Nutritional Disease Center |
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Speciality | Internal Medicine |
Location | 9870 Brimhall Rd Unit 100, Bakersfield, California |
Authorized Official Name and Position | Nandakumar Ravi (OWNER) |
Authorized Official Contact | 6615888725 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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American Digestive Liver And Nutritional Disease Center Po Box 22470 Bakersfield CA 93390-2470 Ph: (661) 588-8725 | American Digestive Liver And Nutritional Disease Center 9870 Brimhall Rd Unit 100 Bakersfield CA 93312-2798 Ph: (661) 588-8725 |
NPI Number | 1063454692 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 08/04/2014 |
Medicare PECOS PAC ID | 0840104279 |
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Medicare Enrollment ID | O20031118001090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063454692 | NPI | - | NPPES |
00A640070 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A64007 (California) | Primary |
Provider Name | Nandakumar Ravi |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770554321 PECOS PAC ID: 0143134585 Enrollment ID: I20031120000206 |
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