| Praful Sarode Md Inc | |
|
999 N Tustin Ave Suite # 124 Santa Ana CA 92705-3528 | |
| (714) 547-5444 | |
| Not Available |
| Full Name | Praful Sarode Md Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 999 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Praful Sarode (CEO) |
| Authorized Official Contact | 7145475444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Praful Sarode Md Inc 999 N Tustin Ave Suite # 124 Santa Ana CA 92705-3528 Ph: (714) 547-5444 | Praful Sarode Md Inc 999 N Tustin Ave Suite # 124 Santa Ana CA 92705-3528 Ph: (714) 547-5444 |
| NPI Number | 1366534760 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 01/13/2008 |
| Medicare PECOS PAC ID | 6305085309 |
|---|---|
| Medicare Enrollment ID | O20130624000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366534760 | NPI | - | NPPES |
| 00A433834 | Medicaid | CA |
| Provider Name | Praful Sarode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669560231 PECOS PAC ID: 8729978465 Enrollment ID: I20040317000801 |
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