Deccan Pacific Medical Group in Fremont - Specialist

Deccan Pacific Medical Group - NPI 1437379765

Deccan Pacific Medical Group is a Specialist in Fremont, California. Deccan Pacific Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Deccan Pacific Medical Group is 1437379765. The last update date is 2014-08-08.

Deccan Pacific Medical Group's current location address is 1860 Mowry Ave Ste 400, Fremont, California. You can contact this provider via phone number 5102844100 and fax number 5107949783. The mailing address for Deccan Pacific Medical Group is 1860 Mowry Ave Ste 400, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Deccan Pacific Medical Group
Address 1860 Mowry Ave Ste 400, Fremont, California
Phone Number 5102844100
Fax Number 5107949783
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Karipineni C. Ramesh
Credentials M. D.
Telephone Number 5102844100

NPI Number Detail

NPI Number 1437379765
Provider Enumeration Date 2007-04-27
Last Updated Date 2014-08-08

Provider Mailing Address Detail

Address 1860 Mowry Ave Ste 400
City Fremont
State California (CA)
Post Code 945381730
Phone Number 5102844100
Fax Number 5107949783

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A33814
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ21948Z CA MEDICARE ID TYPE

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FAQs about Deccan Pacific Medical Group

What is the unique identification code assigned to Deccan Pacific Medical Group by the Centers for Medicare & Medicaid Services?

The Deccan Pacific Medical Group has been issued the NPI (National Provider Identifier) 1437379765. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Deccan Pacific Medical Group?

The Deccan Pacific Medical Group is physically situated at 1860 Mowry Ave Ste 400, in the city of Fremont, state of CA, with the postal code 945381730.

What is Deccan Pacific Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Deccan Pacific Medical Group is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date was the 1437379765 assigned to Deccan Pacific Medical Group?

The Deccan Pacific Medical Group was issued its 1437379765 on 2007-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Deccan Pacific Medical Group most recently updated or revised?

The information pertaining to Deccan Pacific Medical Group, including its address, specialty, and other relevant details, was last updated or revised on 2014-08-08.

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