| Digestive And Liver Disease Medical Center | |
|
6137 North Thesta Ave 103 Fresno CA 93710-8605 | |
| (559) 431-8888 | |
| (559) 447-8400 |
| Full Name | Digestive And Liver Disease Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 6137 North Thesta Ave, Fresno, California |
| Authorized Official Name and Position | Prahalad B Jajodia (PRESIDENT) |
| Authorized Official Contact | 5594318888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive And Liver Disease Medical Center 9865 North Sedona Circle Fresno CA 93720-5408 Ph: (559) 273-0600 | Digestive And Liver Disease Medical Center 6137 North Thesta Ave 103 Fresno CA 93710-8605 Ph: (559) 431-8888 |
| NPI Number | 1619056082 |
|---|---|
| Provider Enumeration Date | 11/04/2006 |
| Last Update Date | 01/20/2009 |
| Medicare PECOS PAC ID | 5799848651 |
|---|---|
| Medicare Enrollment ID | O20090120000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619056082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 00A560840 (California) | Primary |
| Provider Name | Prahalad Jajodia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114092186 PECOS PAC ID: 4880680701 Enrollment ID: I20040423001323 |
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