| B Nicholas Namihas M D Inc A Professional Medical Corporation | |
|
2510 Airpark Dr Ste 102 Redding CA 96001-2461 | |
| (530) 243-8667 | |
| (530) 243-8742 |
| Full Name | B Nicholas Namihas M D Inc A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2510 Airpark Dr Ste 102, Redding, California |
| Authorized Official Name and Position | Bret Nicholas Namihas (PRESIDENT) |
| Authorized Official Contact | 5302438667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B Nicholas Namihas M D Inc A Professional Medical Corporation Po Box 993215 Redding CA 96099-3215 Ph: (530) 243-8667 | B Nicholas Namihas M D Inc A Professional Medical Corporation 2510 Airpark Dr Ste 102 Redding CA 96001-2461 Ph: (530) 243-8667 |
| NPI Number | 1679764781 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 03/10/2015 |
| Medicare PECOS PAC ID | 6103892682 |
|---|---|
| Medicare Enrollment ID | O20040907000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679764781 | NPI | - | NPPES |
| ZZZ30119Z | Other | CA | GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G58791 (California) | Primary |
| Provider Name | Bret N Namihas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215949722 PECOS PAC ID: 9436125911 Enrollment ID: I20040909000480 |
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