G6 Concierge Medicine Inc | |
897 Sir Francis Drake Blvd San Anselmo CA 94960-1916 | |
(415) 500-4289 | |
(415) 325-5536 |
Full Name | G6 Concierge Medicine Inc |
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Speciality | Internal Medicine |
Location | 897 Sir Francis Drake Blvd, San Anselmo, California |
Authorized Official Name and Position | Juhi Goswamy (PHYSICIAN/CEO) |
Authorized Official Contact | 4155004289 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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G6 Concierge Medicine Inc Po Box 6671 Santa Rosa CA 95406-0671 Ph: (415) 500-4289 | G6 Concierge Medicine Inc 897 Sir Francis Drake Blvd San Anselmo CA 94960-1916 Ph: (415) 500-4289 |
NPI Number | 1750034427 |
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Provider Enumeration Date | 02/01/2022 |
Last Update Date | 04/19/2022 |
Medicare PECOS PAC ID | 3274920392 |
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Medicare Enrollment ID | O20220420000513 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750034427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Juhi Goswamy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821448317 PECOS PAC ID: 3678805413 Enrollment ID: I20191029001848 |
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