| Tejas Patel, Md A Medical Corporation | |
|
2625 W Alameda Ave Ste 412 Burbank CA 91505-4806 | |
| (818) 842-6400 | |
| (818) 842-9400 |
| Full Name | Tejas Patel, Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2625 W Alameda Ave, Burbank, California |
| Authorized Official Name and Position | Tejas Patel (PRESIDENT) |
| Authorized Official Contact | 81880787020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tejas Patel, Md A Medical Corporation 10061 Riverside Dr Ste 167 Toluca Lake CA 91602-2560 Ph: (818) 807-8702 | Tejas Patel, Md A Medical Corporation 2625 W Alameda Ave Ste 412 Burbank CA 91505-4806 Ph: (818) 842-6400 |
| NPI Number | 1841528957 |
|---|---|
| Provider Enumeration Date | 12/01/2009 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 5496897415 |
|---|---|
| Medicare Enrollment ID | O20100128000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841528957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A88498 (California) | Primary |
| Provider Name | Tejas I Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437125770 PECOS PAC ID: 7911930300 Enrollment ID: I20050915000929 |
| Provider Name | Ameachi Linda Ajakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992249189 PECOS PAC ID: 6800260928 Enrollment ID: I20230313001123 |
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