| Fremont Primary Care Inc | |
|
734 Mowry Ave Fremont CA 94536-4115 | |
| (510) 742-6274 | |
| (510) 742-6473 |
| Full Name | Fremont Primary Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 734 Mowry Ave, Fremont, California |
| Authorized Official Name and Position | Renu Khetrapal (CFO) |
| Authorized Official Contact | 9259841618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Primary Care Inc 734 Mowry Ave Fremont CA 94536-4115 Ph: (510) 742-6274 | Fremont Primary Care Inc 734 Mowry Ave Fremont CA 94536-4115 Ph: (510) 742-6274 |
| NPI Number | 1164737268 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 02/11/2011 |
| Medicare PECOS PAC ID | 5496935090 |
|---|---|
| Medicare Enrollment ID | O20110215000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164737268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shankar Ghimire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851693378 PECOS PAC ID: 1153508650 Enrollment ID: I20110610000018 |
| Provider Name | Kulbinder Singh Hans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952862880 PECOS PAC ID: 9638547375 Enrollment ID: I20221130000969 |
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