Vasili A Dzerhachou Md, Inc | |
134 Saint Patricks Dr Danville CA 94526-5118 | |
(904) 253-9756 | |
(925) 753-1986 |
Full Name | Vasili A Dzerhachou Md, Inc |
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Speciality | Internal Medicine |
Location | 134 Saint Patricks Dr, Danville, California |
Authorized Official Name and Position | Vasili Dzerhachou (PRESIDENT) |
Authorized Official Contact | 9042539756 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vasili A Dzerhachou Md, Inc 134 Saint Patricks Dr Danville CA 94526-5118 Ph: (904) 253-9756 | Vasili A Dzerhachou Md, Inc 134 Saint Patricks Dr Danville CA 94526-5118 Ph: (904) 253-9756 |
NPI Number | 1730948415 |
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Provider Enumeration Date | 03/15/2024 |
Last Update Date | 03/15/2024 |
Medicare PECOS PAC ID | 6901245059 |
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Medicare Enrollment ID | O20240422002805 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730948415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Vasili Dzerhachou |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1952783029 PECOS PAC ID: 1052614336 Enrollment ID: I20180808003447 |
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