Manjari Aravamuthan Md Pc | |
1569 Lexann Ave Ste 220 San Jose CA 95121-1795 | |
(408) 929-6922 | |
(408) 929-8671 |
Full Name | Manjari Aravamuthan Md Pc |
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Speciality | Internal Medicine |
Location | 1569 Lexann Ave Ste 220, San Jose, California |
Authorized Official Name and Position | Manjari Aravamuthan (PRESIDENT&CEO) |
Authorized Official Contact | 4089296922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Manjari Aravamuthan Md Pc 1569 Lexann Ave Ste 220 San Jose CA 95121-1795 Ph: (408) 929-6922 | Manjari Aravamuthan Md Pc 1569 Lexann Ave Ste 220 San Jose CA 95121-1795 Ph: (408) 929-6922 |
NPI Number | 1457850455 |
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Provider Enumeration Date | 02/05/2018 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 8325301963 |
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Medicare Enrollment ID | O20180413000753 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457850455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A62078 (California) | Primary |
Provider Name | Manjari Aravamuthan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154410322 PECOS PAC ID: 9830264761 Enrollment ID: I20080812000536 |
Chris Chung, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 | |
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Shen Medicine & Pediatrics Assc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Rosewood Ave, San Jose, CA 95117 Phone: 408-296-9800 Fax: 408-296-9805 | |
Terry C. Lin D.o.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 Samaritan Dr., #201, San Jose, CA 95124 Phone: 888-582-0814 |