| Integrated Medical Associates Of | |
|
10500 Macarthur Blvd. Oakland CA 94605-5248 | |
| (510) 569-7326 | |
| (510) 569-7329 |
| Full Name | Integrated Medical Associates Of |
|---|---|
| Speciality | Internal Medicine |
| Location | 10500 Macarthur Blvd., Oakland, California |
| Authorized Official Name and Position | Uchenna Amaramiro Okoronkwo (CEO/PRESIDENT) |
| Authorized Official Contact | 5105697326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Associates Of 10500 Macarthur Blvd. Oakland CA 94605-5248 Ph: (510) 569-7326 | Integrated Medical Associates Of 10500 Macarthur Blvd. Oakland CA 94605-5248 Ph: (510) 569-7326 |
| NPI Number | 1427277904 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 05/01/2015 |
| Medicare PECOS PAC ID | 8224166723 |
|---|---|
| Medicare Enrollment ID | O20100504000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427277904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | G55275 (California) | Primary |
| Provider Name | Uchenna A Okoronkwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922025972 PECOS PAC ID: 3476506056 Enrollment ID: I20050223000482 |
| Provider Name | Jan V Dickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134153752 PECOS PAC ID: 5395878276 Enrollment ID: I20100728001185 |
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