| Oasis Advanced Gastroenterology, Inc. | |
|
100 N Palm Canyon Dr Ste 214 Palm Springs CA 92262-5504 | |
| (760) 699-7607 | |
| Not Available |
| Full Name | Oasis Advanced Gastroenterology, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 N Palm Canyon Dr Ste 214, Palm Springs, California |
| Authorized Official Name and Position | Mehrdad Asgeri (PRESIDENT) |
| Authorized Official Contact | 4404542770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Advanced Gastroenterology, Inc. 44489 Town Center Way Ste D520 Palm Desert CA 92260-2723 Ph: (440) 454-2770 | Oasis Advanced Gastroenterology, Inc. 100 N Palm Canyon Dr Ste 214 Palm Springs CA 92262-5504 Ph: (760) 699-7607 |
| NPI Number | 1073027603 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 3173882487 |
|---|---|
| Medicare Enrollment ID | O20180112000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073027603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C128282 (California) | Primary |
| Provider Name | Khodadad Mehraein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316147374 PECOS PAC ID: 6002902236 Enrollment ID: I20071018000460 |
| Provider Name | Carl G West |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326019944 PECOS PAC ID: 4385652973 Enrollment ID: I20170406002575 |
| Provider Name | Mehrdad Asgeri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063453868 PECOS PAC ID: 4880698604 Enrollment ID: I20180112001032 |
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