| Shirdi Medical Corporation | |
|
1751 W Romneya Dr Anaheim CA 92801-1815 | |
| (714) 776-3180 | |
| (714) 991-1932 |
| Full Name | Shirdi Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1751 W Romneya Dr, Anaheim, California |
| Authorized Official Name and Position | Amirtha Ajit (OWNER) |
| Authorized Official Contact | 7147763180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirdi Medical Corporation 1751 W Romneya Dr Anaheim CA 92801-1815 Ph: (714) 776-3180 | Shirdi Medical Corporation 1751 W Romneya Dr Anaheim CA 92801-1815 Ph: (714) 776-3180 |
| NPI Number | 1023003001 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023003001 | NPI | - | NPPES |
| 00A561790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A56179 (California) | Primary |
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