| Roxana Aminbakhsh Md A Professional Medical Corporation | |
|
825 E Bidwell St Ste 400 Folsom CA 95630-4207 | |
| (858) 900-6004 | |
| Not Available |
| Full Name | Roxana Aminbakhsh Md A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 825 E Bidwell St Ste 400, Folsom, California |
| Authorized Official Name and Position | Roxana Aminbakhsh (CEO) |
| Authorized Official Contact | 8589006004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxana Aminbakhsh Md A Professional Medical Corporation 14055 Saddlebow Dr Reno NV 89511-6747 Ph: (858) 900-6004 | Roxana Aminbakhsh Md A Professional Medical Corporation 825 E Bidwell St Ste 400 Folsom CA 95630-4207 Ph: (858) 900-6004 |
| NPI Number | 1821693193 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 02/20/2023 |
| Medicare PECOS PAC ID | 1456768761 |
|---|---|
| Medicare Enrollment ID | O20210405001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821693193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Roxana Aminbakhsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609970318 PECOS PAC ID: 7618133760 Enrollment ID: I20120718000503 |
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