| Amit Bawa Md Inc | |
|
1836 Gold St Redding CA 96001-1817 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Amit Bawa Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1836 Gold St, Redding, California |
| Authorized Official Name and Position | Amit Bawa (OWNER) |
| Authorized Official Contact | 7609924113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amit Bawa Md Inc Po Box 991064 Redding CA 96099-1064 Ph: (702) 453-3799 | Amit Bawa Md Inc 1836 Gold St Redding CA 96001-1817 Ph: (702) 453-3799 |
| NPI Number | 1225656572 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Medicare PECOS PAC ID | 0042634396 |
|---|---|
| Medicare Enrollment ID | O20200721000929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225656572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shanthi J Dsouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467898437 PECOS PAC ID: 3173756723 Enrollment ID: I20140506000359 |
| Provider Name | Amit Bawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629206453 PECOS PAC ID: 4486801677 Enrollment ID: I20150514001776 |
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