Ashwani Kumar Md A Professional Corporation | |
3550 Churn Creek Rd Redding CA 96002-2718 | |
(702) 453-3799 | |
(702) 453-5741 |
Full Name | Ashwani Kumar Md A Professional Corporation |
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Speciality | Family Medicine |
Location | 3550 Churn Creek Rd, Redding, California |
Authorized Official Name and Position | Ashwani Kumar (SOLE OWNER) |
Authorized Official Contact | 5303566653 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ashwani Kumar Md A Professional Corporation 3335 Placer St # 202 Redding CA 96001-2364 Ph: (702) 453-3799 | Ashwani Kumar Md A Professional Corporation 3550 Churn Creek Rd Redding CA 96002-2718 Ph: (702) 453-3799 |
NPI Number | 1992403349 |
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Provider Enumeration Date | 02/15/2023 |
Last Update Date | 02/15/2023 |
Medicare PECOS PAC ID | 5496120495 |
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Medicare Enrollment ID | O20230405000302 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992403349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ashwani Kumar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851528509 PECOS PAC ID: 8426172974 Enrollment ID: I20120827000360 |
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