| Corporation | |
|
665 S Knickerbocker Dr Suite 5 Sunnyvale CA 94087-1033 | |
| (408) 736-6841 | |
| (408) 736-7329 |
| Full Name | Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 665 S Knickerbocker Dr, Sunnyvale, California |
| Authorized Official Name and Position | Mary Varghese (OWNER) |
| Authorized Official Contact | 4087366841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporation 665 S Knickerbocker Dr Suite 5 Sunnyvale CA 94087-1033 Ph: (408) 736-6841 | Corporation 665 S Knickerbocker Dr Suite 5 Sunnyvale CA 94087-1033 Ph: (408) 736-6841 |
| NPI Number | 1063553352 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063553352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A52872 (California) | Primary |
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