Mira Raju Brahmbhatt, PA-C is a medicare enrolled "Physician Assistant" physician in San Francisco, California. Her current practice location is
1 Embarcadero Ctr Ste 1900, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(973) 407-0850.
Mira Raju Brahmbhatt is licensed to practice in Texas (license number PA14849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891348165.
Physician's Profile
| Full Name | Mira Raju Brahmbhatt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1 Embarcadero Ctr Ste 1900, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891348165
- Provider Enumeration Date: 07/16/2019
- Last Update Date: 02/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 5092143222
- Enrollment ID: I20210907001950
Medical Identifiers
Medical identifiers for Mira Raju Brahmbhatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891348165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 25MP00524400 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | PATEMP (Texas) | Secondary |
| 363A00000X | Physician Assistant | 65059 (California) | Secondary |
| 363A00000X | Physician Assistant | PA14849 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mira Raju Brahmbhatt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mira Raju Brahmbhatt, PA-C 69 Haggerty Dr, West Orange, NJ 07052-1437 Ph: (973) 407-0850 | Mira Raju Brahmbhatt, PA-C 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (973) 407-0850 |
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