| Devadas Moses, A Professional Medical Corporation | |
| 
					701 Highland Springs Ave Ste 5 Beaumont CA 92223-2550  | |
| (951) 845-2342 | |
| (951) 845-0084 | 
| Full Name | Devadas Moses, A Professional Medical Corporation | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 701 Highland Springs Ave Ste 5, Beaumont, California | 
| Authorized Official Name and Position | Devadas S Moses (PHYSICIAN) | 
| Authorized Official Contact | 9095337295 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Devadas Moses, A Professional Medical Corporation 25406 Cole St Loma Linda CA 92354-3186 Ph: (909) 533-7295  | Devadas Moses, A Professional Medical Corporation 701 Highland Springs Ave Ste 5 Beaumont CA 92223-2550 Ph: (951) 845-2342  | 
| NPI Number | 1457117798 | 
|---|---|
| Provider Enumeration Date | 02/26/2024 | 
| Last Update Date | 08/15/2024 | 
| Medicare PECOS PAC ID | 9032641063 | 
|---|---|
| Medicare Enrollment ID | O20241016000840 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457117798 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Devadas E Moses | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1023177607 PECOS PAC ID: 9335295500 Enrollment ID: I20090914000544  | 
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