| Prime Pulmonary & Sleep Medicine Center | |
|
8305 Brimhall Rd. #1601 Bakersfield CA 93312 | |
| (661) 695-6777 | |
| Not Available |
| Full Name | Prime Pulmonary & Sleep Medicine Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 8305 Brimhall Rd. #1601, Bakersfield, California |
| Authorized Official Name and Position | Pramil Vaghasia (PRESIDENT) |
| Authorized Official Contact | 8458536738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Pulmonary & Sleep Medicine Center 8305 Brimhall Rd Ste 1601 Bakersfield CA 93312-2174 Ph: (661) 695-6777 | Prime Pulmonary & Sleep Medicine Center 8305 Brimhall Rd. #1601 Bakersfield CA 93312 Ph: (661) 695-6777 |
| NPI Number | 1629511886 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 4688955438 |
|---|---|
| Medicare Enrollment ID | O20170110001511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629511886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A137848 (California) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | A136724 (California) | Secondary |
| Provider Name | Pramil B Vaghasia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861798332 PECOS PAC ID: 8820269566 Enrollment ID: I20160215002731 |
| Provider Name | Ruchi Bansal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1134425754 PECOS PAC ID: 7214197128 Enrollment ID: I20170117001091 |
| Provider Name | Ahana Sandhu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1174978068 PECOS PAC ID: 6002156916 Enrollment ID: I20190312002518 |
| Provider Name | Sreelekha Lalappan Padmavathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417527102 PECOS PAC ID: 2062815160 Enrollment ID: I20210727003590 |
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