| Sreenivasa R. Nakka, Inc | |
|
949 Calhoun Pl Ste A Hemet CA 92543-4403 | |
| (951) 929-1177 | |
| (951) 765-9111 |
| Full Name | Sreenivasa R. Nakka, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 949 Calhoun Pl, Hemet, California |
| Authorized Official Name and Position | Sreenivasa R Nakka (PRESIDENT) |
| Authorized Official Contact | 9519291177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sreenivasa R. Nakka, Inc 949 Calhoun Pl Ste A Hemet CA 92543-4403 Ph: (951) 929-1177 | Sreenivasa R. Nakka, Inc 949 Calhoun Pl Ste A Hemet CA 92543-4403 Ph: (951) 929-1177 |
| NPI Number | 1003184979 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 6709052269 |
|---|---|
| Medicare Enrollment ID | O20120104000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003184979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sreenivasa R Nakka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184666547 PECOS PAC ID: 7517018062 Enrollment ID: I20090624000214 |
| Provider Name | Anas Kawayeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821296591 PECOS PAC ID: 9335272590 Enrollment ID: I20100809000840 |
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