| Kuramed Mobile Group | |
|
4795 Holt Blvd # 210 Montclair CA 91763-4714 | |
| (909) 544-1782 | |
| (909) 614-8548 |
| Full Name | Kuramed Mobile Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4795 Holt Blvd # 210, Montclair, California |
| Authorized Official Name and Position | Mohitkumar Ardeshana (OWNER) |
| Authorized Official Contact | 9095441782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuramed Mobile Group 4795 Holt Blvd # 211 Montclair CA 91763-4714 Ph: (909) 544-1782 | Kuramed Mobile Group 4795 Holt Blvd # 210 Montclair CA 91763-4714 Ph: (909) 544-1782 |
| NPI Number | 1154076818 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 05/06/2022 |
| Medicare PECOS PAC ID | 1456748755 |
|---|---|
| Medicare Enrollment ID | O20220626000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154076818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohitkumar Ardeshana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467867135 PECOS PAC ID: 6901176742 Enrollment ID: I20170726003510 |
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