| Diablo Digestive Care, Inc. | |
|
400 Taylor Blvd Ste 304 Pleasant Hill CA 94523-2160 | |
| (925) 363-0069 | |
| (925) 363-0077 |
| Full Name | Diablo Digestive Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Taylor Blvd Ste 304, Pleasant Hill, California |
| Authorized Official Name and Position | Premjit Chahal (M.D.) |
| Authorized Official Contact | 9253630069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diablo Digestive Care, Inc. 400 Taylor Blvd Ste 304 Pleasant Hill CA 94523-2160 Ph: (925) 363-0069 | Diablo Digestive Care, Inc. 400 Taylor Blvd Ste 304 Pleasant Hill CA 94523-2160 Ph: (925) 363-0069 |
| NPI Number | 1740552710 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/06/2012 |
| Medicare PECOS PAC ID | 0446410393 |
|---|---|
| Medicare Enrollment ID | O20120329000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740552710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A78375 (California) | Primary |
| Provider Name | Premjit Singh Chahal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093893091 PECOS PAC ID: 1951321397 Enrollment ID: I20051130000876 |
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