| Pacific Infectious Diseases, Inc. | |
|
1024 Jayhawk Way Modesto CA 95358-6714 | |
| (209) 248-7345 | |
| Not Available |
| Full Name | Pacific Infectious Diseases, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1024 Jayhawk Way, Modesto, California |
| Authorized Official Name and Position | Navneet Kaur Gill (OWNER) |
| Authorized Official Contact | 2092487345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Infectious Diseases, Inc. 1024 Jayhawk Way Modesto CA 95358-6714 Ph: (209) 248-7345 | Pacific Infectious Diseases, Inc. 1024 Jayhawk Way Modesto CA 95358-6714 Ph: (209) 248-7345 |
| NPI Number | 1891246153 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 8628359692 |
|---|---|
| Medicare Enrollment ID | O20170105001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891246153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A138814 (California) | Primary |
| Provider Name | Navneet Kaur Gill |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568780070 PECOS PAC ID: 1557511029 Enrollment ID: I20170105001893 |
| Provider Name | Pushpinderdeep Singh Kahlon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710229380 PECOS PAC ID: 8022240605 Enrollment ID: I20190916002304 |
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