| Fremont Internal Medicine Medical Associates,inc | |
|
556 Mowry Ave Suite 200 Fremont CA 94536-4186 | |
| (510) 796-0770 | |
| (510) 796-7099 |
| Full Name | Fremont Internal Medicine Medical Associates,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 556 Mowry Ave, Fremont, California |
| Authorized Official Name and Position | Noreen Singh (OFFICE MANAGER) |
| Authorized Official Contact | 5104681533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Internal Medicine Medical Associates,inc 160 J St Unit 2656 Fremont CA 94536-8018 Ph: (510) 468-1533 | Fremont Internal Medicine Medical Associates,inc 556 Mowry Ave Suite 200 Fremont CA 94536-4186 Ph: (510) 796-0770 |
| NPI Number | 1669413365 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 9436186111 |
|---|---|
| Medicare Enrollment ID | O20050725000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669413365 | NPI | - | NPPES |
| 00A481480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A48148 (California) | Primary |
| Provider Name | Devindar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447294624 PECOS PAC ID: 7113009937 Enrollment ID: I20090526000243 |
| Provider Name | Nicholas Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255727293 PECOS PAC ID: 7113232562 Enrollment ID: I20180724003813 |
| Provider Name | Harleen Dyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225424237 PECOS PAC ID: 0840506382 Enrollment ID: I20180803001579 |
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