| Mittal Family Healthcare Inc | |
|
9360 No Name Uno Suite 240 Gilroy CA 95020-3540 | |
| (408) 846-8100 | |
| (408) 846-8101 |
| Full Name | Mittal Family Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9360 No Name Uno, Gilroy, California |
| Authorized Official Name and Position | Gunjan Mittal (PRESIDENT) |
| Authorized Official Contact | 4088468100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mittal Family Healthcare Inc 9360 No Name Uno Suite 240 Gilroy CA 95020-3540 Ph: (408) 846-8100 | Mittal Family Healthcare Inc 9360 No Name Uno Suite 240 Gilroy CA 95020-3540 Ph: (408) 846-8100 |
| NPI Number | 1932364031 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 12/11/2008 |
| Medicare PECOS PAC ID | 4385704410 |
|---|---|
| Medicare Enrollment ID | O20081119000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932364031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A92174 (California) | Primary |
| Provider Name | Gunjan Mittal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679526578 PECOS PAC ID: 6305844333 Enrollment ID: I20061129000231 |
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