| Avicenna Critical Care, Pc | |
|
1940 El Cajon Blvd San Diego CA 92104-1005 | |
| (619) 543-4500 | |
| Not Available |
| Full Name | Avicenna Critical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1940 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Ahmed Salem (OWNER) |
| Authorized Official Contact | 8583368177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avicenna Critical Care, Pc Po Box 3363 La Jolla CA 92038-3363 Ph: () - | Avicenna Critical Care, Pc 1940 El Cajon Blvd San Diego CA 92104-1005 Ph: (619) 543-4500 |
| NPI Number | 1699317644 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 10/10/2019 |
| Medicare PECOS PAC ID | 6507290657 |
|---|---|
| Medicare Enrollment ID | O20191223001505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699317644 | NPI | - | NPPES |
| Provider Name | Ahmed A Salem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578798013 PECOS PAC ID: 8527210715 Enrollment ID: I20121217000181 |
| Provider Name | Amir Fahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568740355 PECOS PAC ID: 5890915466 Enrollment ID: I20150427001282 |
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