| Realm Healthcare Inc | |
|
1330 San Bernardino Rd Ste L Upland CA 91786-4980 | |
| (909) 833-0110 | |
| (909) 354-3113 |
| Full Name | Realm Healthcare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1330 San Bernardino Rd Ste L, Upland, California |
| Authorized Official Name and Position | Nischita Merla (PHYSICIAN OWNER) |
| Authorized Official Contact | 9098330110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Realm Healthcare Inc 1330 San Bernardino Rd Ste L Upland CA 91786-4980 Ph: (909) 833-7556 | Realm Healthcare Inc 1330 San Bernardino Rd Ste L Upland CA 91786-4980 Ph: (909) 833-0110 |
| NPI Number | 1609414853 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 7618303058 |
|---|---|
| Medicare Enrollment ID | O20200204001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609414853 | NPI | - | NPPES |
| Provider Name | Nischita Merla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629272208 PECOS PAC ID: 5092846642 Enrollment ID: I20120124000835 |
| Provider Name | Ramanna Merla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336343912 PECOS PAC ID: 3971680802 Enrollment ID: I20130801000847 |
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