| Avanti Health Providers | |
|
531 N Alta Ave Ste B Dinuba CA 93618-3250 | |
| (559) 568-3151 | |
| (800) 507-1641 |
| Full Name | Avanti Health Providers |
|---|---|
| Speciality | Internal Medicine |
| Location | 531 N Alta Ave Ste B, Dinuba, California |
| Authorized Official Name and Position | Manish Mehta (PRESIDENT) |
| Authorized Official Contact | 5595683151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanti Health Providers 531 N Alta Ave Ste B Dinuba CA 93618-3250 Ph: (559) 568-3151 | Avanti Health Providers 531 N Alta Ave Ste B Dinuba CA 93618-3250 Ph: (559) 568-3151 |
| NPI Number | 1023622669 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Medicare PECOS PAC ID | 3870904642 |
|---|---|
| Medicare Enrollment ID | O20201130001828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023622669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Mehran Sourehnissani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992745285 PECOS PAC ID: 2365410727 Enrollment ID: I20040924000384 |
| Provider Name | Manish Mehta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790085223 PECOS PAC ID: 8820230105 Enrollment ID: I20130815000859 |
| Provider Name | Allan C Elarmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659705689 PECOS PAC ID: 9638326259 Enrollment ID: I20140709001492 |
| Provider Name | Jagmohan Ghotra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689032815 PECOS PAC ID: 8325334741 Enrollment ID: I20160912001816 |
| Provider Name | Eusebio Dan P Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962858704 PECOS PAC ID: 1153695663 Enrollment ID: I20181210001783 |
| Provider Name | Melanie D Suljada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986743 PECOS PAC ID: 4385977826 Enrollment ID: I20190614001291 |
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