| Red Bow Medical Associates Inc | |
|
36915 Cook St Ste 103 Palm Desert CA 92211-6067 | |
| (442) 666-3025 | |
| (760) 340-4844 |
| Full Name | Red Bow Medical Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 36915 Cook St Ste 103, Palm Desert, California |
| Authorized Official Name and Position | Sana Khan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7606417217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Bow Medical Associates Inc 36915 Cook St, Suite 103 Ste 103 Palm Desert CA 92211-6067 Ph: (760) 340-1003 | Red Bow Medical Associates Inc 36915 Cook St Ste 103 Palm Desert CA 92211-6067 Ph: (442) 666-3025 |
| NPI Number | 1639581713 |
|---|---|
| Provider Enumeration Date | 05/23/2014 |
| Last Update Date | 08/22/2022 |
| Medicare PECOS PAC ID | 9335368661 |
|---|---|
| Medicare Enrollment ID | O20140917003020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639581713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 20A12642 (California) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Sana Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205262466 PECOS PAC ID: 0244459576 Enrollment ID: I20140918000057 |
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