| Malhotra And Chitturi Medical Corp | |
|
19661 S Mountain House Parkway Mountain House CA 95391 | |
| (209) 685-1141 | |
| Not Available |
| Full Name | Malhotra And Chitturi Medical Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 19661 S Mountain House Parkway, Mountain House, California |
| Authorized Official Name and Position | Louella Refe Nadeau (CREDENTIALING OFFICER) |
| Authorized Official Contact | 2096851141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malhotra And Chitturi Medical Corp 19661 S Mountain House Parkway Mountain House CA 95391 Ph: (209) 685-1141 | Malhotra And Chitturi Medical Corp 19661 S Mountain House Parkway Mountain House CA 95391 Ph: (209) 685-1141 |
| NPI Number | 1861182180 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 4385081793 |
|---|---|
| Medicare Enrollment ID | O20240321000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861182180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Pankaj Malhotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851561203 PECOS PAC ID: 5395812903 Enrollment ID: I20120109000291 |
| Provider Name | Satyakant Chitturi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184989980 PECOS PAC ID: 8426209776 Enrollment ID: I20160721001302 |
| Provider Name | Naga V Chitta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548601255 PECOS PAC ID: 0749423036 Enrollment ID: I20160721001794 |