| Mohammad Elbatta Md, Inc | |
|
17400 Irvine Blvd Ste F Tustin CA 92780-3030 | |
| (949) 806-1301 | |
| Not Available |
| Full Name | Mohammad Elbatta Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17400 Irvine Blvd Ste F, Tustin, California |
| Authorized Official Name and Position | Mohammad Elbatta (PRESIDENT) |
| Authorized Official Contact | 9498061301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Elbatta Md, Inc 8583 Irvine Center Dr # 331 Irvine CA 92618-4298 Ph: () - | Mohammad Elbatta Md, Inc 17400 Irvine Blvd Ste F Tustin CA 92780-3030 Ph: (949) 806-1301 |
| NPI Number | 1982332763 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Medicare PECOS PAC ID | 8022484443 |
|---|---|
| Medicare Enrollment ID | O20221026000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982332763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mohammad Elbatta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316204894 PECOS PAC ID: 7618109422 Enrollment ID: I20190926003584 |
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