| Laksmi Ananta Inc | |
|
525 Oregon St Vallejo CA 94590-3201 | |
| (707) 649-4935 | |
| Not Available |
| Full Name | Laksmi Ananta Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 525 Oregon St, Vallejo, California |
| Authorized Official Name and Position | Mukesh H Naik (OWNER) |
| Authorized Official Contact | 7074489350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laksmi Ananta Inc Po Box 127 Napa CA 94559-0127 Ph: (707) 255-3300 | Laksmi Ananta Inc 525 Oregon St Vallejo CA 94590-3201 Ph: (707) 649-4935 |
| NPI Number | 1790337855 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 01/24/2020 |
| Medicare PECOS PAC ID | 7113257585 |
|---|---|
| Medicare Enrollment ID | O20190927000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790337855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mukesh J Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609982248 PECOS PAC ID: 9739178765 Enrollment ID: I20040506000980 |
| Provider Name | Aimee E Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740463611 PECOS PAC ID: 4486717816 Enrollment ID: I20090112000739 |
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