| Anas Kawayeh Md Inc | |
|
2006 N Riverside Ave Ste A Rialto CA 92377-4696 | |
| (909) 883-2999 | |
| Not Available |
| Full Name | Anas Kawayeh Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2006 N Riverside Ave, Rialto, California |
| Authorized Official Name and Position | Anas Kawayeh (PRESIDENT) |
| Authorized Official Contact | 9098832999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anas Kawayeh Md Inc 375 Terracina Blvd Redlands CA 92373-3801 Ph: (909) 883-2999 | Anas Kawayeh Md Inc 2006 N Riverside Ave Ste A Rialto CA 92377-4696 Ph: (909) 883-2999 |
| NPI Number | 1982153797 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7618257163 |
|---|---|
| Medicare Enrollment ID | O20161129002591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982153797 | NPI | - | NPPES |
| A109588 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A109588 (California) | Primary |
| Provider Name | Anas Kawayeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821296591 PECOS PAC ID: 9335272590 Enrollment ID: I20100809000840 |
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