| Sanjay N. Khedia, M.d., Inc. | |
|
211 W Badillo St Covina CA 91723-1907 | |
| (626) 915-7674 | |
| (626) 966-1952 |
| Full Name | Sanjay N. Khedia, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 211 W Badillo St, Covina, California |
| Authorized Official Name and Position | Sanjay Natverlal Khedia (PRESIDENT) |
| Authorized Official Contact | 9096266214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay N. Khedia, M.d., Inc. Po Box 4869 West Covina CA 91791-0869 Ph: (626) 915-7674 | Sanjay N. Khedia, M.d., Inc. 211 W Badillo St Covina CA 91723-1907 Ph: (626) 915-7674 |
| NPI Number | 1508172578 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 08/27/2010 |
| Medicare PECOS PAC ID | 0749474641 |
|---|---|
| Medicare Enrollment ID | O20101104001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508172578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A56166 (California) | Primary |
| Provider Name | Sanjay Natverlal Khedia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326063801 PECOS PAC ID: 3173566072 Enrollment ID: I20050601001121 |
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