Jrp Medical Group Inc | |
9670 Magnolia Ave Ste 203 Riverside CA 92503-3684 | |
(951) 352-7400 | |
Not Available |
Full Name | Jrp Medical Group Inc |
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Speciality | Internal Medicine |
Location | 9670 Magnolia Ave Ste 203, Riverside, California |
Authorized Official Name and Position | Jyothi Ahalya Reddy (PRESIDENT) |
Authorized Official Contact | 9513543976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jrp Medical Group Inc 9670 Magnolia Ave Ste 201 Riverside CA 92503-3684 Ph: (951) 352-7400 | Jrp Medical Group Inc 9670 Magnolia Ave Ste 203 Riverside CA 92503-3684 Ph: (951) 352-7400 |
NPI Number | 1629396353 |
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Provider Enumeration Date | 05/05/2010 |
Last Update Date | 10/18/2020 |
Medicare PECOS PAC ID | 5698807832 |
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Medicare Enrollment ID | O20100723000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629396353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Pravin M Panchal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992799530 PECOS PAC ID: 2062308109 Enrollment ID: I20100723000093 |
Provider Name | Jyothi A Reddy |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033221007 PECOS PAC ID: 7517016298 Enrollment ID: I20110721000377 |
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