| Raman S. Poola M.d. Inc | |
|
18523 Corwin Rd Ste H Apple Valley CA 92307-2338 | |
| (760) 242-3000 | |
| (760) 242-1802 |
| Full Name | Raman S. Poola M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18523 Corwin Rd, Apple Valley, California |
| Authorized Official Name and Position | Raman Sadasivaswamy Poola (PRESIDENT) |
| Authorized Official Contact | 7602423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raman S. Poola M.d. Inc 18523 Corwin Rd Ste H Apple Valley CA 92307-2338 Ph: (760) 242-3000 | Raman S. Poola M.d. Inc 18523 Corwin Rd Ste H Apple Valley CA 92307-2338 Ph: (760) 242-3000 |
| NPI Number | 1780846253 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 5193887032 |
|---|---|
| Medicare Enrollment ID | O20081231000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780846253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Raman Sadasivaswam Poola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669493862 PECOS PAC ID: 4284796129 Enrollment ID: I20081231000002 |
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