| Amada Concierge Clinics Pc | |
|
7045 N Maple Ave Ste 101 Fresno CA 93720-8008 | |
| (559) 326-7393 | |
| (559) 369-2488 |
| Full Name | Amada Concierge Clinics Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7045 N Maple Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Michael Ghalchi (CEO) |
| Authorized Official Contact | 8186136789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amada Concierge Clinics Pc 7045 N Maple Ave Ste 101 Fresno CA 93720-8008 Ph: (559) 326-7393 | Amada Concierge Clinics Pc 7045 N Maple Ave Ste 101 Fresno CA 93720-8008 Ph: (559) 326-7393 |
| NPI Number | 1629838842 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 02/05/2025 |
| Medicare PECOS PAC ID | 2365988193 |
|---|---|
| Medicare Enrollment ID | O20240729001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629838842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Silvia Collazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083771224 PECOS PAC ID: 7113016379 Enrollment ID: I20071211000418 |
| Provider Name | Kiran Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588778435 PECOS PAC ID: 0042374183 Enrollment ID: I20100520000400 |
| Provider Name | Daniel D Ghalchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124318746 PECOS PAC ID: 4688990500 Enrollment ID: I20150311001304 |
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