| Indra De M.d., Inc. | |
|
2333 W March Ln Ste A1 Stockton CA 95207-5263 | |
| (209) 462-9100 | |
| (209) 462-9101 |
| Full Name | Indra De M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2333 W March Ln Ste A1, Stockton, California |
| Authorized Official Name and Position | Indra De (PRESIDENT) |
| Authorized Official Contact | 2094629100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indra De M.d., Inc. 3905 Glen Abby Cir Stockton CA 95219-1800 Ph: (209) 462-9100 | Indra De M.d., Inc. 2333 W March Ln Ste A1 Stockton CA 95207-5263 Ph: (209) 462-9100 |
| NPI Number | 1316147986 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 0446343131 |
|---|---|
| Medicare Enrollment ID | O20070911000970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316147986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | C52396 (California) | Primary |
| Provider Name | Indra De |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154372951 PECOS PAC ID: 7618913856 Enrollment ID: I20070911000963 |
James H. Holmes, Jr., M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 St. Mark's Plaza, Suite 5, Stockton, CA 95207 Phone: 209-466-8683 Fax: 209-466-8309 | |
Aziz Kamali Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1947 N California St Ste A, Stockton, CA 95204 Phone: 209-478-5533 Fax: 209-475-0187 | |
Dameron Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 W Acacia St, Stockton, CA 95203 Phone: 209-461-3196 Fax: 209-461-7593 | |
Kulendu G Vasavda Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Tuxedo Court, Suite B, Stockton, CA 95204 Phone: 209-941-0149 Fax: 209-941-2550 | |
Ht Family Physicians, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 W March Ln, Suite A, Stockton, CA 95207 Phone: 209-477-5552 Fax: 209-477-5553 | |
San Joaquin County Clinics Chs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 N California St Suite A, Stockton, CA 95202 Phone: 209-953-6400 Fax: 209-468-2321 | |
American Current Care Of California, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 W Hammer Ln, Stockton, CA 95210 Phone: 209-546-7767 Fax: 209-546-7785 |