| Bambhania Medical Corporation | |
|
15962 Quantico Rd Apple Valley CA 92307-1302 | |
| (760) 242-0600 | |
| (760) 242-0606 |
| Full Name | Bambhania Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 15962 Quantico Rd, Apple Valley, California |
| Authorized Official Name and Position | Divya Bambhania (OFFICE MANAGER) |
| Authorized Official Contact | 7602420600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bambhania Medical Corporation Po Box 1139 Victorville CA 92393-1139 Ph: (760) 242-0600 | Bambhania Medical Corporation 15962 Quantico Rd Apple Valley CA 92307-1302 Ph: (760) 242-0600 |
| NPI Number | 1700194073 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 11/18/2014 |
| Medicare PECOS PAC ID | 6103011911 |
|---|---|
| Medicare Enrollment ID | O20101105001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700194073 | NPI | - | NPPES |
| ZZZ37313Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A45672 (California) | Primary |
| Provider Name | Ramesh Bambhania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093729436 PECOS PAC ID: 3476533902 Enrollment ID: I20040723000834 |
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