| Agah Medical PC | |
|
2495 Hospital Drive Suite 550 Mountain View CA 94040-4186 | |
| (650) 315-1252 | |
| (650) 220-6075 |
| Full Name | Agah Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2495 Hospital Drive, Mountain View, California |
| Authorized Official Name and Position | Ramtin Agah (OWNER/PRESIDENT) |
| Authorized Official Contact | 6503151252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agah Medical PC 2495 Hospital Drive Unit 550 Mountain View CA 94040 Ph: (650) 315-1252 | Agah Medical PC 2495 Hospital Drive Suite 550 Mountain View CA 94040-4186 Ph: (650) 315-1252 |
| NPI Number | 1316764293 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 9537695002 |
|---|---|
| Medicare Enrollment ID | O20241206001602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316764293 | NPI | - | NPPES |
| Provider Name | Ravin Agah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528075017 PECOS PAC ID: 8729042882 Enrollment ID: I20041117001176 |
| Provider Name | Ramtin Agah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255326310 PECOS PAC ID: 9234182528 Enrollment ID: I20050802000837 |
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