Medical Associates Of Fremont, Inc | |
39225 State Street Fremont CA 94538-1437 | |
(510) 794-1990 | |
(510) 794-1341 |
Full Name | Medical Associates Of Fremont, Inc |
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Speciality | Internal Medicine |
Location | 39225 State Street, Fremont, California |
Authorized Official Name and Position | Anmol Singh Mahal (PRESIDENT) |
Authorized Official Contact | 5107941990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Associates Of Fremont, Inc 39225 State St Fremont CA 94538-1437 Ph: (510) 794-1990 | Medical Associates Of Fremont, Inc 39225 State Street Fremont CA 94538-1437 Ph: (510) 794-1990 |
NPI Number | 1518115435 |
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Provider Enumeration Date | 09/04/2008 |
Last Update Date | 09/04/2008 |
Medicare PECOS PAC ID | 4183777840 |
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Medicare Enrollment ID | O20090729000293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518115435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A30923 (California) | Primary |
Provider Name | Anmol S Mahal |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609931526 PECOS PAC ID: 6800949462 Enrollment ID: I20090805000789 |
Provider Name | Surjit K Mahal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609920156 PECOS PAC ID: 0941353148 Enrollment ID: I20090805000792 |
Provider Name | Subena K M Tilley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265578793 PECOS PAC ID: 6709970890 Enrollment ID: I20090805000802 |
Provider Name | Spencer B Tilley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710171038 PECOS PAC ID: 1658424858 Enrollment ID: I20090805000807 |
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