| Internal Medicine Mds Corp | |
|
3114 W Beverly Blvd Montebello CA 90640-2217 | |
| (323) 726-3868 | |
| (323) 726-3870 |
| Full Name | Internal Medicine Mds Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 3114 W Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Nazrul Islam (PHYSICIAN) |
| Authorized Official Contact | 3237263868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Mds Corp 3114 W Beverly Blvd Montebello CA 90640-2217 Ph: (323) 726-3868 | Internal Medicine Mds Corp 3114 W Beverly Blvd Montebello CA 90640-2217 Ph: (323) 726-3868 |
| NPI Number | 1811338270 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Medicare PECOS PAC ID | 0042448722 |
|---|---|
| Medicare Enrollment ID | O20140103000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811338270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A102426 (California) | Primary |
| Provider Name | Nazrul Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629202841 PECOS PAC ID: 5890958631 Enrollment ID: I20140204000234 |
| Provider Name | Jagdishchandra P Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760422067 PECOS PAC ID: 4880912112 Enrollment ID: I20170609000976 |
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