| Emmanuel T. Fabella, M.d., Inc. | |
|
880 E Merritt Ave Suite 102 Tulare CA 93274-2244 | |
| (559) 687-8200 | |
| Not Available |
| Full Name | Emmanuel T. Fabella, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 880 E Merritt Ave, Tulare, California |
| Authorized Official Name and Position | Emmanuel T. Fabella (CEO) |
| Authorized Official Contact | 5596878200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel T. Fabella, M.d., Inc. Po Box 2053 Tulare CA 93275-2053 Ph: (559) 687-8200 | Emmanuel T. Fabella, M.d., Inc. 880 E Merritt Ave Suite 102 Tulare CA 93274-2244 Ph: (559) 687-8200 |
| NPI Number | 1740336981 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 10/06/2008 |
| Medicare PECOS PAC ID | 4981703857 |
|---|---|
| Medicare Enrollment ID | O20070619000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740336981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C51956 (* (Not Available)) | Primary |
| Provider Name | Emmanuel T Fabella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114973468 PECOS PAC ID: 2668477571 Enrollment ID: I20060928000158 |
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