Drh Medical Group | |
400 30th St Suite 407 Oakland CA 94609 | |
(808) 808-2000 | |
(800) 395-8971 |
Full Name | Drh Medical Group |
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Speciality | Clinic/Center |
Location | 400 30th St Suite 407, Oakland, California |
Authorized Official Name and Position | Michael C Hoaglin (OWNER) |
Authorized Official Contact | 8088082000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Drh Medical Group 2940 Summit St Ste 2d Oakland CA 94609-3416 Ph: (415) 735-6453 | Drh Medical Group 400 30th St Suite 407 Oakland CA 94609 Ph: (808) 808-2000 |
NPI Number | 1790560225 |
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Provider Enumeration Date | 08/31/2023 |
Last Update Date | 01/24/2025 |
Medicare PECOS PAC ID | 1456794866 |
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Medicare Enrollment ID | O20240213000286 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790560225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Giancarlo P Dimassa |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1255370797 PECOS PAC ID: 3072599125 Enrollment ID: I20040628001683 |
Provider Name | Trissy Chun |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295924140 PECOS PAC ID: 2769521715 Enrollment ID: I20091203000646 |
Provider Name | Avni Bansi Pandya |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
Provider Name | Faraz Masood |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20210507002074 |
Provider Name | Cherisa Sandrow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568664944 PECOS PAC ID: 8123192739 Enrollment ID: I20231206002995 |
Provider Name | Cornell V Calinescu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457339004 PECOS PAC ID: 6406768878 Enrollment ID: I20240402003847 |
Provider Name | Teresa M. Walsh |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508090549 PECOS PAC ID: 5597990861 Enrollment ID: I20240829003284 |
Provider Name | Hina Quasim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861886327 PECOS PAC ID: 7416251897 Enrollment ID: I20240829004211 |
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