| Medical Offices Of Shashwati.s.kale | |
|
2690 S White Rd Suite200, San Jose CA 95148-2076 | |
| (408) 223-8228 | |
| (408) 223-8338 |
| Full Name | Medical Offices Of Shashwati.s.kale |
|---|---|
| Speciality | Family Medicine |
| Location | 2690 S White Rd, San Jose, California |
| Authorized Official Name and Position | Shashwati Sharad Kale (OWNER/CEO) |
| Authorized Official Contact | 4082238228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Offices Of Shashwati.s.kale 2690 S White Rd Suite200, San Jose CA 95148-2076 Ph: (408) 223-8228 | Medical Offices Of Shashwati.s.kale 2690 S White Rd Suite200, San Jose CA 95148-2076 Ph: (408) 223-8228 |
| NPI Number | 1467497891 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 09/17/2008 |
| Medicare PECOS PAC ID | 7012917073 |
|---|---|
| Medicare Enrollment ID | O20061222000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467497891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A067291 (California) | Primary |
| Provider Name | Shashwati S Kale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306944459 PECOS PAC ID: 7810997871 Enrollment ID: I20061222000253 |
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