| Padma Mahajan M.d., Inc | |
|
2242 Camden Ave Ste 203 San Jose CA 95124-2029 | |
| (408) 356-7161 | |
| (408) 356-6676 |
| Full Name | Padma Mahajan M.d., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2242 Camden Ave Ste 203, San Jose, California |
| Authorized Official Name and Position | Padma Mahajan (M.D.) |
| Authorized Official Contact | 4083567161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Padma Mahajan M.d., Inc 2242 Camden Ave Ste 203 San Jose CA 95124-2029 Ph: (408) 356-7161 | Padma Mahajan M.d., Inc 2242 Camden Ave Ste 203 San Jose CA 95124-2029 Ph: (408) 356-7161 |
| NPI Number | 1417262676 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 07/16/2023 |
| Medicare PECOS PAC ID | 1355467846 |
|---|---|
| Medicare Enrollment ID | O20100921001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417262676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A36338 (California) | Primary |
| Provider Name | Padma Mahajan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265547830 PECOS PAC ID: 6406972991 Enrollment ID: I20100921001286 |
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