| Columbia Asthma And Allergy Clinic | |
|
3448 Mowry Ave Fremont CA 94538 | |
| (510) 373-3000 | |
| (510) 744-9959 |
| Full Name | Columbia Asthma And Allergy Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3448 Mowry Ave, Fremont, California |
| Authorized Official Name and Position | Kristina Fletcher (SENIOR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3609400860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Asthma And Allergy Clinic 3448 Mowry Ave Fremont CA 94538-1422 Ph: (510) 373-3000 | Columbia Asthma And Allergy Clinic 3448 Mowry Ave Fremont CA 94538 Ph: (510) 373-3000 |
| NPI Number | 1962687566 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 4688606536 |
|---|---|
| Medicare Enrollment ID | O20090904000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962687566 | NPI | - | NPPES |
| 50D1045257 | Other | WA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD00040042 (Washington) | Primary |
| Provider Name | Umesh K Sabharwal |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1831192160 PECOS PAC ID: 4981648326 Enrollment ID: I20050623000686 |
| Provider Name | Patty Peng-jung Chi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1407898323 PECOS PAC ID: 3274567268 Enrollment ID: I20050920000299 |
| Provider Name | Dionisio A Fernandes |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1285691121 PECOS PAC ID: 6800953936 Enrollment ID: I20090317000460 |
| Provider Name | Sanjeev Jain |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710973839 PECOS PAC ID: 1759313604 Enrollment ID: I20090904000394 |
| Provider Name | Farinaz Farrahi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174661227 PECOS PAC ID: 3375790744 Enrollment ID: I20120821000362 |
| Provider Name | Renu M Gandhe |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609138874 PECOS PAC ID: 7214294180 Enrollment ID: I20171130002548 |
| Provider Name | Yan Yan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154663771 PECOS PAC ID: 2163753302 Enrollment ID: I20191018002106 |
| Provider Name | Ravdeep Kaur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134567092 PECOS PAC ID: 1153615901 Enrollment ID: I20191101001653 |
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