| Acclaim Medical Care Inc | |
|
304 W Latham Ave Hemet CA 92543-4106 | |
| (951) 925-7170 | |
| (951) 925-7027 |
| Full Name | Acclaim Medical Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 304 W Latham Ave, Hemet, California |
| Authorized Official Name and Position | Sudha G Madabhushi (PRESIDENT) |
| Authorized Official Contact | 9519296260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acclaim Medical Care Inc Po Box 661 Hemet CA 92546-0661 Ph: (951) 925-7179 | Acclaim Medical Care Inc 304 W Latham Ave Hemet CA 92543-4106 Ph: (951) 925-7170 |
| NPI Number | 1215021936 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 03/15/2011 |
| Medicare PECOS PAC ID | 1658387154 |
|---|---|
| Medicare Enrollment ID | O20060221000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215021936 | NPI | - | NPPES |
| GR0104430 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70292 (California) | Primary |
| Provider Name | Sudha Madabhushi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902990641 PECOS PAC ID: 7315843539 Enrollment ID: I20031209000745 |
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