| Impact Physician Group - California Pc | |
|
4400 Kirkcaldy Dr Bakersfield CA 93306-5542 | |
| (661) 688-7000 | |
| Not Available |
| Full Name | Impact Physician Group - California Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4400 Kirkcaldy Dr, Bakersfield, California |
| Authorized Official Name and Position | Paul Miller (CEO) |
| Authorized Official Contact | 6789675599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physician Group - California Pc 21 Eastbrook Bnd Ste 218 Peachtree City GA 30269-1546 Ph: (678) 967-5599 | Impact Physician Group - California Pc 4400 Kirkcaldy Dr Bakersfield CA 93306-5542 Ph: (661) 688-7000 |
| NPI Number | 1336856681 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 8426427428 |
|---|---|
| Medicare Enrollment ID | O20221214001958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336856681 | NPI | - | NPPES |
| Provider Name | Banita Banu Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942212527 PECOS PAC ID: 5193917003 Enrollment ID: I20101011000975 |
| Provider Name | Andrea G Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548557077 PECOS PAC ID: 2264675008 Enrollment ID: I20150603001553 |
| Provider Name | Faraaz Osmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588005474 PECOS PAC ID: 4688946825 Enrollment ID: I20170822003748 |
| Provider Name | Bernarde M Udo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447779889 PECOS PAC ID: 9335179563 Enrollment ID: I20180413001384 |
| Provider Name | Sakiba Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700240215 PECOS PAC ID: 9537498845 Enrollment ID: I20190912000545 |
| Provider Name | Mandakini Hersh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457739161 PECOS PAC ID: 9436466752 Enrollment ID: I20191028000801 |
| Provider Name | Syed Abdur-rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538658729 PECOS PAC ID: 2961806005 Enrollment ID: I20220422001882 |
| Provider Name | Nimish G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184901001 PECOS PAC ID: 6901124478 Enrollment ID: I20220601002481 |
| Provider Name | Kamran Quraishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417175068 PECOS PAC ID: 0648361568 Enrollment ID: I20240222002549 |
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