Bay Area Internal Medicine Professional Medical Corporation | |
350 Hawthorne Ave Oakland CA 94609-3108 | |
(510) 393-1453 | |
Not Available |
Full Name | Bay Area Internal Medicine Professional Medical Corporation |
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Speciality | Internal Medicine |
Location | 350 Hawthorne Ave, Oakland, California |
Authorized Official Name and Position | Kanika Sharma (PRESIDENT) |
Authorized Official Contact | 5103931453 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bay Area Internal Medicine Professional Medical Corporation 4200 Park Blvd #526 Oakland CA 94602-1312 Ph: (510) 393-1453 | Bay Area Internal Medicine Professional Medical Corporation 350 Hawthorne Ave Oakland CA 94609-3108 Ph: (510) 393-1453 |
NPI Number | 1336596907 |
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Provider Enumeration Date | 05/24/2016 |
Last Update Date | 08/16/2023 |
Medicare PECOS PAC ID | 2264726413 |
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Medicare Enrollment ID | O20160810001640 |
Identifier | Type | State | Issuer |
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1336596907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | G81465 (California) | Primary |
Provider Name | Kanika Sharma |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598724080 PECOS PAC ID: 7416073408 Enrollment ID: I20100928000295 |
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