| Medmek Medical Clinic, Inc. | |
|
433 Tuolumne St Suite Vallejo CA 94590-5764 | |
| (510) 230-3817 | |
| Not Available |
| Full Name | Medmek Medical Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 433 Tuolumne St, Vallejo, California |
| Authorized Official Name and Position | Augustine Mekkam (SECRETARY) |
| Authorized Official Contact | 5102303817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medmek Medical Clinic, Inc. Po Box 5133 Hercules CA 94547-5133 Ph: (510) 230-3817 | Medmek Medical Clinic, Inc. 433 Tuolumne St Suite Vallejo CA 94590-5764 Ph: (510) 230-3817 |
| NPI Number | 1275815946 |
|---|---|
| Provider Enumeration Date | 09/19/2011 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275815946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G77245 (California) | Primary |
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