M Michael Kazemi Md | |
5401 Norris Canyon Rd Suite 308 San Ramon CA 94583-5409 | |
(925) 866-8822 | |
(925) 866-8323 |
Full Name | M Michael Kazemi Md |
---|---|
Speciality | Internal Medicine |
Location | 5401 Norris Canyon Rd, San Ramon, California |
Authorized Official Name and Position | M Michael Kazemi (OWNER) |
Authorized Official Contact | 9258668822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
M Michael Kazemi Md 5401 Norris Canyon Rd Suite 308 San Ramon CA 94583-5409 Ph: (925) 866-8822 | M Michael Kazemi Md 5401 Norris Canyon Rd Suite 308 San Ramon CA 94583-5409 Ph: (925) 866-8822 |
NPI Number | 1447581624 |
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Provider Enumeration Date | 01/27/2010 |
Last Update Date | 07/30/2010 |
Medicare PECOS PAC ID | 7012049257 |
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Medicare Enrollment ID | O20100722001026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447581624 | NPI | - | NPPES |
G613101 | Medicaid | CA |
Provider Name | Mustafa Michael Kazemi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861479768 PECOS PAC ID: 0446211767 Enrollment ID: I20070410000453 |
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