| Oaks Internal Medicine, A Professional Medical Corporation | |
|
3295 Old Conejo Road Suite 201 Newbury Park CA 91320-2152 | |
| (805) 375-6000 | |
| (805) 375-0011 |
| Full Name | Oaks Internal Medicine, A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3295 Old Conejo Road, Newbury Park, California |
| Authorized Official Name and Position | Asra S. I. Siddiqui (PRESIDENT) |
| Authorized Official Contact | 8053756000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaks Internal Medicine, A Professional Medical Corporation 3295 Old Conejo Rd Suite 201 Newbury Park CA 91320-2152 Ph: (805) 375-6000 | Oaks Internal Medicine, A Professional Medical Corporation 3295 Old Conejo Road Suite 201 Newbury Park CA 91320-2152 Ph: (805) 375-6000 |
| NPI Number | 1306149562 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 11/02/2011 |
| Medicare PECOS PAC ID | 1557550639 |
|---|---|
| Medicare Enrollment ID | O20110105000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306149562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A65725 (California) | Primary |
| Provider Name | Asra S Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649275397 PECOS PAC ID: 0244424190 Enrollment ID: I20101104000528 |
| Provider Name | Munira Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184856460 PECOS PAC ID: 9537337357 Enrollment ID: I20110722000144 |
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