| Kirti K Solanki Md Inc | |
|
415 E Harding Way Ste A Stockton CA 95204-6118 | |
| (209) 948-1217 | |
| (209) 948-0243 |
| Full Name | Kirti K Solanki Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 E Harding Way Ste A, Stockton, California |
| Authorized Official Name and Position | Yvonne Green (MANAGER) |
| Authorized Official Contact | 2099481217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirti K Solanki Md Inc 415 E Harding Way Ste A Stockton CA 95204-6118 Ph: (209) 948-1217 | Kirti K Solanki Md Inc 415 E Harding Way Ste A Stockton CA 95204-6118 Ph: (209) 948-1217 |
| NPI Number | 1316355621 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 10/09/2014 |
| Medicare PECOS PAC ID | 6608094016 |
|---|---|
| Medicare Enrollment ID | O20140827000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316355621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A54178 (California) | Primary |
| Provider Name | Kirti Kumar Solanki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528073400 PECOS PAC ID: 1254389307 Enrollment ID: I20050105001127 |
| Provider Name | Jennifer J Hasselbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245449529 PECOS PAC ID: 9638329345 Enrollment ID: I20121015000395 |
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