| Vimali Paul Md Inc | |
|
85 Declaration Drive Suite 110 Chico CA 95973 | |
| (530) 894-6600 | |
| (530) 894-1321 |
| Full Name | Vimali Paul Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 85 Declaration Drive, Chico, California |
| Authorized Official Name and Position | Juanita Roman (OFFICE MANAGER) |
| Authorized Official Contact | 5308946600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vimali Paul Md Inc 85 Declaration Dr Suite 110 Chico CA 95973-4964 Ph: (530) 894-6600 | Vimali Paul Md Inc 85 Declaration Drive Suite 110 Chico CA 95973 Ph: (530) 894-6600 |
| NPI Number | 1447518816 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 4880620095 |
|---|---|
| Medicare Enrollment ID | O20050711000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447518816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A53520 (California) | Primary |
| Provider Name | Vimali Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700881448 PECOS PAC ID: 6608855408 Enrollment ID: I20040715000867 |
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