| Irene Teper MD Inc | |
|
655 Redwood Hwy Frontage Rd Ste 375 Mill Valley CA 94941-3041 | |
| (415) 212-8332 | |
| Not Available |
| Full Name | Irene Teper MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 Redwood Hwy Frontage Rd Ste 375, Mill Valley, California |
| Authorized Official Name and Position | Irene Teper (PRESIDENT) |
| Authorized Official Contact | 4152128332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Teper MD Inc 655 Redwood Hwy Frontage Rd Ste 375 Mill Valley CA 94941-3041 Ph: (415) 212-8332 | Irene Teper MD Inc 655 Redwood Hwy Frontage Rd Ste 375 Mill Valley CA 94941-3041 Ph: (415) 212-8332 |
| NPI Number | 1457059917 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Medicare PECOS PAC ID | 5597138669 |
|---|---|
| Medicare Enrollment ID | O20230310001874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457059917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Irene Teper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073584520 PECOS PAC ID: 0446287767 Enrollment ID: I20050719000548 |
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