| Ies Medical Group, Inc. | |
|
1101 Van Ness Ave Rm 31583d San Francisco CA 94109-6919 | |
| (415) 600-1151 | |
| (415) 447-6330 |
| Full Name | Ies Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1101 Van Ness Ave Rm 31583d, San Francisco, California |
| Authorized Official Name and Position | Kenneth F Binmoeller (PRESIDENT) |
| Authorized Official Contact | 4156001151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ies Medical Group, Inc. Dept 34754 Po Box 39000 San Francisco CA 94139-0001 Ph: (415) 600-1151 | Ies Medical Group, Inc. 1101 Van Ness Ave Rm 31583d San Francisco CA 94109-6919 Ph: (415) 600-1151 |
| NPI Number | 1720130263 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 02/14/2020 |
| Medicare PECOS PAC ID | 1355449786 |
|---|---|
| Medicare Enrollment ID | O20070608000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720130263 | NPI | - | NPPES |
| 1851321715 | Other | CA | DR B NPI |
| A049767 | Other | CA | DR. B MD LIC CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A497670 (California) | Primary |
| Provider Name | Janak Naresh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225052319 PECOS PAC ID: 1254305071 Enrollment ID: I20040825001383 |
| Provider Name | Kenneth F Binmoeller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851321715 PECOS PAC ID: 8921028952 Enrollment ID: I20051205000869 |
| Provider Name | Christopher M Hamerski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205033420 PECOS PAC ID: 7012077050 Enrollment ID: I20081120000093 |
| Provider Name | Yasser M Bhat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891896320 PECOS PAC ID: 2961594882 Enrollment ID: I20081216000372 |
| Provider Name | Rabindra R Watson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720227028 PECOS PAC ID: 4981881604 Enrollment ID: I20110607000299 |
| Provider Name | Andrew Nett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871720581 PECOS PAC ID: 2466765300 Enrollment ID: I20161123001814 |
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