| Folsom Medical Practice Inc | |
|
4839 White Pine Dr Folsom CA 95630-6022 | |
| (916) 382-8500 | |
| (916) 221-9882 |
| Full Name | Folsom Medical Practice Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4839 White Pine Dr, Folsom, California |
| Authorized Official Name and Position | Vera Venkata Naresh Kumar Batchu (CEO) |
| Authorized Official Contact | 2039793864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Folsom Medical Practice Inc 4839 White Pine Dr Folsom CA 95630-6022 Ph: (916) 382-8500 | Folsom Medical Practice Inc 4839 White Pine Dr Folsom CA 95630-6022 Ph: (916) 382-8500 |
| NPI Number | 1740973403 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 5698137008 |
|---|---|
| Medicare Enrollment ID | O20230817000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740973403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Vera V Batchu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457600405 PECOS PAC ID: 2567741135 Enrollment ID: I20191018000084 |
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