Massil M.d., Inc. | |
6000 Fairway Dr Ste 1 Rocklin CA 95677-4245 | |
(732) 986-4741 | |
Not Available |
Full Name | Massil M.d., Inc. |
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Speciality | Internal Medicine |
Location | 6000 Fairway Dr Ste 1, Rocklin, California |
Authorized Official Name and Position | David E Massil (OWNER OF THE ENTITY) |
Authorized Official Contact | 7329864741 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Massil M.d., Inc. 6000 Fairway Dr Ste 1 Rocklin CA 95677-4245 Ph: (732) 986-4741 | Massil M.d., Inc. 6000 Fairway Dr Ste 1 Rocklin CA 95677-4245 Ph: (732) 986-4741 |
NPI Number | 1215660824 |
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Provider Enumeration Date | 07/01/2022 |
Last Update Date | 07/01/2022 |
Medicare PECOS PAC ID | 7719360072 |
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Medicare Enrollment ID | O20220818002566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215660824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | David E Massil |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528246840 PECOS PAC ID: 0446310775 Enrollment ID: I20081117000654 |
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