| Kanwar T Mahal, Md Inc. | |
|
7710 N Fresno St # 102 Fresno CA 93720-2403 | |
| (559) 437-9100 | |
| Not Available |
| Full Name | Kanwar T Mahal, Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7710 N Fresno St # 102, Fresno, California |
| Authorized Official Name and Position | Kanwar T Mahal (PRESIDENT) |
| Authorized Official Contact | 5594379100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanwar T Mahal, Md Inc. 7710 N Fresno St # 102 Fresno CA 93720-2403 Ph: () - | Kanwar T Mahal, Md Inc. 7710 N Fresno St # 102 Fresno CA 93720-2403 Ph: (559) 437-9100 |
| NPI Number | 1104066232 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 03/03/2009 |
| Medicare PECOS PAC ID | 8729131222 |
|---|---|
| Medicare Enrollment ID | O20090831000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104066232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A88928 (California) | Primary |
| 207RB0002X | Internal Medicine - Obesity Medicine | A88928 (California) | Secondary |
| Provider Name | Kanwar T Mahal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154455806 PECOS PAC ID: 3274633037 Enrollment ID: I20090831000186 |
| Provider Name | Amber K Mahal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134370901 PECOS PAC ID: 2860663945 Enrollment ID: I20120106000581 |
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