| Insightmd, Inc. | |
|
333 W San Carlos St Ste 600 San Jose CA 95110-2731 | |
| (760) 486-5456 | |
| Not Available |
| Full Name | Insightmd, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 W San Carlos St Ste 600, San Jose, California |
| Authorized Official Name and Position | Damodara Rajasekhar (PRESIDENT) |
| Authorized Official Contact | 7604865456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insightmd, Inc. 333 W San Carlos St Ste 600 San Jose CA 95110-2731 Ph: () - | Insightmd, Inc. 333 W San Carlos St Ste 600 San Jose CA 95110-2731 Ph: (760) 486-5456 |
| NPI Number | 1669033320 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 1850723891 |
|---|---|
| Medicare Enrollment ID | O20191113002669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669033320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Richard S Tennant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134355126 PECOS PAC ID: 6406019447 Enrollment ID: I20120531000443 |
| Provider Name | Nicholas Kenji Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699156281 PECOS PAC ID: 9133495872 Enrollment ID: I20180611001478 |
| Provider Name | Stacie Vilendrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215322698 PECOS PAC ID: 5991051047 Enrollment ID: I20180703002894 |
| Provider Name | Adam Edward Singer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770014326 PECOS PAC ID: 8921433582 Enrollment ID: I20200506000818 |
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