| Sierra Infectious Diseases A Professional Medical Corporation | |
|
6614 Mercy Ct Suite A Fair Oaks CA 95628-3167 | |
| (916) 536-1136 | |
| (916) 536-1148 |
| Full Name | Sierra Infectious Diseases A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 6614 Mercy Ct, Fair Oaks, California |
| Authorized Official Name and Position | Elizabeth J Kailath (PHYSICIAN) |
| Authorized Official Contact | 9165361136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Infectious Diseases A Professional Medical Corporation 6614 Mercy Ct Suite A Fair Oaks CA 95628-3167 Ph: (916) 536-1136 | Sierra Infectious Diseases A Professional Medical Corporation 6614 Mercy Ct Suite A Fair Oaks CA 95628-3167 Ph: (916) 536-1136 |
| NPI Number | 1629185418 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 11/26/2014 |
| Medicare PECOS PAC ID | 9234122169 |
|---|---|
| Medicare Enrollment ID | O20051206000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629185418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A41552 (California) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | A41552 (California) | Primary |
| Provider Name | Elizabeth Kailath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952372765 PECOS PAC ID: 7517870991 Enrollment ID: I20031111000566 |
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