|
| |
|
101 S San Mateo Dr Ste 102 San Mateo CA 94401-3840 | |
| (650) 360-9309 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 101 S San Mateo Dr Ste 102, San Mateo, California |
| Authorized Official Name and Position | Gurpreet K Padam (CEO) |
| Authorized Official Contact | 6503609309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
101 S San Mateo Dr Ste 102 San Mateo CA 94401-3840 Ph: (650) 360-9309 | 101 S San Mateo Dr Ste 102 San Mateo CA 94401-3840 Ph: (650) 360-9309 |
| NPI Number | 1104674407 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 0244779908 |
|---|---|
| Medicare Enrollment ID | O20240826001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104674407 | NPI | - | NPPES |
| Provider Name | Gurpreet K Padam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932125135 PECOS PAC ID: 6709984222 Enrollment ID: I20070607000235 |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 | |
Pradeepa Selvakumar Md Inc, A California Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-435-8211 Fax: 844-965-9436 | |
Shu Chiropractic And Associates Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N San Mateo Dr, Suite 5, San Mateo, CA 94401 Phone: 415-509-6632 | |
San Mateo Medical Centerr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 |