| El Hadi Mouderres Md Inc | |
|
9727 Elk Grove Florin Rd Suite 120 Elk Grove CA 95624-2291 | |
| (916) 236-3058 | |
| (916) 236-3061 |
| Full Name | El Hadi Mouderres Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9727 Elk Grove Florin Rd, Elk Grove, California |
| Authorized Official Name and Position | El Hadi Mouderres (MD/PRESIDENT) |
| Authorized Official Contact | 9162363058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Hadi Mouderres Md Inc 9727 Elk Grove Florin Rd Suite 120 Elk Grove CA 95624-2291 Ph: (916) 236-3058 | El Hadi Mouderres Md Inc 9727 Elk Grove Florin Rd Suite 120 Elk Grove CA 95624-2291 Ph: (916) 236-3058 |
| NPI Number | 1407183593 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 09/26/2013 |
| Medicare PECOS PAC ID | 6901936350 |
|---|---|
| Medicare Enrollment ID | O20100610000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407183593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | El-hadi J Mouderres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730106626 PECOS PAC ID: 7012802663 Enrollment ID: I20100610000774 |
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