| Berkeley Endocrine Clinic, Inc. | |
|
3000 Colby St Suite 203b Berkeley CA 94705-2083 | |
| (510) 883-9005 | |
| (510) 883-9006 |
| Full Name | Berkeley Endocrine Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Colby St, Berkeley, California |
| Authorized Official Name and Position | Omar M. Murad (PRESIDENT) |
| Authorized Official Contact | 5108839005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Endocrine Clinic, Inc. 3000 Colby St Suite 203b Berkeley CA 94705-2083 Ph: (510) 883-9005 | Berkeley Endocrine Clinic, Inc. 3000 Colby St Suite 203b Berkeley CA 94705-2083 Ph: (510) 883-9005 |
| NPI Number | 1962812800 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 12/21/2015 |
| Medicare PECOS PAC ID | 9638478415 |
|---|---|
| Medicare Enrollment ID | O20160428001729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962812800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A115859 (California) | Primary |
| Provider Name | Omar M Murad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598738015 PECOS PAC ID: 3476567397 Enrollment ID: I20110928000208 |
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