Radhika Tulpule Md Inc. | |
110 N 4th Ave Covina CA 91723-1825 | |
(626) 859-6400 | |
(626) 859-6433 |
Full Name | Radhika Tulpule Md Inc. |
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Speciality | Internal Medicine |
Location | 110 N 4th Ave, Covina, California |
Authorized Official Name and Position | Radhika Tulpule (CEO) |
Authorized Official Contact | 6269674469 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Radhika Tulpule Md Inc. 110 N 4th Ave Covina CA 91723-1825 Ph: (626) 859-6400 | Radhika Tulpule Md Inc. 110 N 4th Ave Covina CA 91723-1825 Ph: (626) 859-6400 |
NPI Number | 1336196864 |
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Provider Enumeration Date | 05/29/2006 |
Last Update Date | 06/04/2015 |
Medicare PECOS PAC ID | 2668480799 |
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Medicare Enrollment ID | O20060330000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336196864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A45187 (California) | Primary |
Provider Name | Radhika Tulpule |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801829437 PECOS PAC ID: 7810905957 Enrollment ID: I20060330000461 |
Provider Name | Kristine Grace Lee Dizon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336649060 PECOS PAC ID: 9436495173 Enrollment ID: I20190116003172 |
Provider Name | Denise Jacqueline Bobbiti |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376186627 PECOS PAC ID: 0547694515 Enrollment ID: I20191227001426 |
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