| Assad U Darawal M.d. Inc | |
|
81893 Dr Carreon Blvd #1 Indio CA 92201-5592 | |
| (760) 342-8005 | |
| (760) 342-5451 |
| Full Name | Assad U Darawal M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 81893 Dr Carreon Blvd #1, Indio, California |
| Authorized Official Name and Position | Assad U Darawal (OWNER) |
| Authorized Official Contact | 7603428005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assad U Darawal M.d. Inc 81893 Dr Carreon Blvd #1 Indio CA 92201-5592 Ph: (760) 342-8005 | Assad U Darawal M.d. Inc 81893 Dr Carreon Blvd #1 Indio CA 92201-5592 Ph: (760) 342-8005 |
| NPI Number | 1518154087 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 05/15/2012 |
| Medicare PECOS PAC ID | 4789847013 |
|---|---|
| Medicare Enrollment ID | O20120523000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518154087 | NPI | - | NPPES |
| GR0085630 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A056102 (California) | Primary |
| Provider Name | Assad U Darawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902877301 PECOS PAC ID: 9830173681 Enrollment ID: I20070813000477 |
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