| David Kagan Md Inc | |
|
1829 Monterey Ave Berkeley CA 94707-2543 | |
| (832) 472-5012 | |
| Not Available |
| Full Name | David Kagan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1829 Monterey Ave, Berkeley, California |
| Authorized Official Name and Position | David Kagan (CEO) |
| Authorized Official Contact | 8324725012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Kagan Md Inc 241 S Orange Dr Los Angeles CA 90036-3010 Ph: (832) 472-5012 | David Kagan Md Inc 1829 Monterey Ave Berkeley CA 94707-2543 Ph: (832) 472-5012 |
| NPI Number | 1861926669 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 05/19/2019 |
| Medicare PECOS PAC ID | 4082982558 |
|---|---|
| Medicare Enrollment ID | O20170626001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861926669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A113476 (California) | Primary |
| Provider Name | David B Kagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992965768 PECOS PAC ID: 7517154792 Enrollment ID: I20101214000883 |
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