| Dr Preeti N Dave, MD | |
|
1301 Pinole Valley Rd, Pinole, CA 94564-1384 | |
| (510) 243-4200 | |
| Not Available |
| Full Name | Dr Preeti N Dave |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1301 Pinole Valley Rd, Pinole, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619242708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A120596 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Preeti N Dave, MD 1301 Pinole Valley Rd, Pinole, CA 94564-1384 Ph: (510) 243-4200 | Dr Preeti N Dave, MD 1301 Pinole Valley Rd, Pinole, CA 94564-1384 Ph: (510) 243-4200 |
Jessamine Joy Faustino-wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pinole Valley Rd, Pinole, CA 94564 Phone: 510-243-4200 | |
Dr. Diana Harris Mahar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pinole Valley Rd, Dept. Of Pediatrics, Pinole, CA 94564 Phone: 510-243-4213 | |
Beverly Estes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2160 Appian Way, Suite 100, Pinole, CA 94564 Phone: 510-724-8300 Fax: 510-724-8391 |