| Pro Care Medical Group Inc | |
|
16 Cathy Ln Danville CA 94526-1114 | |
| (925) 322-3442 | |
| Not Available |
| Full Name | Pro Care Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16 Cathy Ln, Danville, California |
| Authorized Official Name and Position | Zahid Shaikh (SOLE MEMBER) |
| Authorized Official Contact | 9253223443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Care Medical Group Inc 23 Railroad Ave Unit 541 Danville CA 94526-1114 Ph: () - | Pro Care Medical Group Inc 16 Cathy Ln Danville CA 94526-1114 Ph: (925) 322-3442 |
| NPI Number | 1255766267 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 05/15/2021 |
| Medicare PECOS PAC ID | 0648401091 |
|---|---|
| Medicare Enrollment ID | O20140327001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255766267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A114438 (California) | Primary |
| Provider Name | Preet P Bhambra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598919839 PECOS PAC ID: 6800945809 Enrollment ID: I20090521000600 |
| Provider Name | Sri Vardhan V Kooturu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760633457 PECOS PAC ID: 6608929948 Enrollment ID: I20111010000290 |
| Provider Name | Zahid I Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740441294 PECOS PAC ID: 2668644956 Enrollment ID: I20111010000422 |
| Provider Name | Joseph Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003139445 PECOS PAC ID: 5092963199 Enrollment ID: I20120914000352 |
| Provider Name | Shruthi R Kooturu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740432095 PECOS PAC ID: 2769621085 Enrollment ID: I20130618000447 |
| Provider Name | Mariel Muriel Pastrana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538488580 PECOS PAC ID: 6406095769 Enrollment ID: I20140128001945 |
| Provider Name | Vasili Dzerhachou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952783029 PECOS PAC ID: 1052614336 Enrollment ID: I20180808003447 |
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