| High Desert Infectious Disease Associates Inc. | |
|
17290 Jasmine St Ste 101 Victorville CA 92395-8300 | |
| (760) 951-2400 | |
| (951) 840-2088 |
| Full Name | High Desert Infectious Disease Associates Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 17290 Jasmine St Ste 101, Victorville, California |
| Authorized Official Name and Position | Bipinchandra V. Bhagat (OWNER) |
| Authorized Official Contact | 7604903088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Infectious Disease Associates Inc. 17290 Jasmine St Ste 101 Victorville CA 92395-8300 Ph: (760) 951-2400 | High Desert Infectious Disease Associates Inc. 17290 Jasmine St Ste 101 Victorville CA 92395-8300 Ph: (760) 951-2400 |
| NPI Number | 1235867045 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Medicare PECOS PAC ID | 7315311263 |
|---|---|
| Medicare Enrollment ID | O20230316001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235867045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Kevin Ganesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225563026 PECOS PAC ID: 5395016950 Enrollment ID: I20230328000626 |
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