| Archana Shende M D Inc | |
|
1211 W La Palma Ave 309 Anaheim CA 92801-2815 | |
| (714) 999-1050 | |
| Not Available |
| Full Name | Archana Shende M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 W La Palma Ave, Anaheim, California |
| Authorized Official Name and Position | Archana C Shende (CEO) |
| Authorized Official Contact | 7149991050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archana Shende M D Inc 1211 W La Palma Ave 309 Anaheim CA 92801-2815 Ph: (714) 999-1050 | Archana Shende M D Inc 1211 W La Palma Ave 309 Anaheim CA 92801-2815 Ph: (714) 999-1050 |
| NPI Number | 1053515825 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 04/27/2010 |
| Medicare PECOS PAC ID | 9032155783 |
|---|---|
| Medicare Enrollment ID | O20050701000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053515825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50235 (California) | Primary |
| Provider Name | Suzanne Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720110620 PECOS PAC ID: 9739116245 Enrollment ID: I20050726000647 |
| Provider Name | Archana C Shende |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043255938 PECOS PAC ID: 3274703756 Enrollment ID: I20110822000148 |
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