| Fresno Long Term Care Medical Group Inc. | |
|
5150 N 6th St Ste 149 Fresno CA 93710-7505 | |
| (559) 222-6500 | |
| (559) 222-6555 |
| Full Name | Fresno Long Term Care Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5150 N 6th St Ste 149, Fresno, California |
| Authorized Official Name and Position | Asha Pritpal Singh Sidhu (M.D.) |
| Authorized Official Contact | 5592226500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresno Long Term Care Medical Group Inc. 5150 N 6th St Ste 149 Fresno CA 93710-7505 Ph: (559) 222-6500 | Fresno Long Term Care Medical Group Inc. 5150 N 6th St Ste 149 Fresno CA 93710-7505 Ph: (559) 222-6500 |
| NPI Number | 1801930599 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 10/11/2018 |
| Medicare PECOS PAC ID | 2163310749 |
|---|---|
| Medicare Enrollment ID | O20040305000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801930599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A066417 (California) | Primary |
| Provider Name | Swapna S Palav |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558517748 PECOS PAC ID: 2163577958 Enrollment ID: I20090831000375 |
| Provider Name | Asha Pritpal S Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255430286 PECOS PAC ID: 9234224593 Enrollment ID: I20100324000734 |
| Provider Name | Harkirat S Bal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114399953 PECOS PAC ID: 4587969738 Enrollment ID: I20160225001158 |
| Provider Name | Kavneet Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992234827 PECOS PAC ID: 8224309331 Enrollment ID: I20170808003452 |
| Provider Name | Jasbir Kaur Dheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811617046 PECOS PAC ID: 0547633828 Enrollment ID: I20230307003052 |
| Provider Name | Harmanpreet Singh Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255020491 PECOS PAC ID: 4688034507 Enrollment ID: I20230724001813 |
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