| Mansukh Ghadiya Md Inc | |
|
2201 Mount Vernon Ave Suite 211-a Bakersfield CA 93306-3341 | |
| (661) 215-4948 | |
| (855) 677-5701 |
| Full Name | Mansukh Ghadiya Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2201 Mount Vernon Ave, Bakersfield, California |
| Authorized Official Name and Position | Mansukh Ghadiya (PRESIDENT/CEO) |
| Authorized Official Contact | 6612154948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansukh Ghadiya Md Inc Po Box 60770 Bakersfield CA 93386-0770 Ph: (661) 215-4948 | Mansukh Ghadiya Md Inc 2201 Mount Vernon Ave Suite 211-a Bakersfield CA 93306-3341 Ph: (661) 215-4948 |
| NPI Number | 1982026886 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 5496973422 |
|---|---|
| Medicare Enrollment ID | O20140904000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982026886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A71759 (California) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Mansukh R Ghadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972537736 PECOS PAC ID: 5395635759 Enrollment ID: I20040318000839 |
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