Mahawar Medical Center | |
3550 Mowry Ave Suite 101 Fremont CA 94538-1460 | |
(510) 797-5500 | |
(510) 797-5507 |
Full Name | Mahawar Medical Center |
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Speciality | Physical Medicine & Rehabilitation |
Location | 3550 Mowry Ave, Fremont, California |
Authorized Official Name and Position | Suresh Mahawar (PRESIDENT) |
Authorized Official Contact | 5107975500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mahawar Medical Center 3550 Mowry Ave Suite 101 Fremont CA 94538-1460 Ph: (510) 797-5500 | Mahawar Medical Center 3550 Mowry Ave Suite 101 Fremont CA 94538-1460 Ph: (510) 797-5500 |
NPI Number | 1740326842 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8921000944 |
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Medicare Enrollment ID | O20070205000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740326842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A535880 (California) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A353880 (California) | Primary |
Provider Name | Harmesh Kumar |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205866308 PECOS PAC ID: 3375534423 Enrollment ID: I20040519000491 |
Provider Name | Suresh K Mahawar |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1033154893 PECOS PAC ID: 2567413925 Enrollment ID: I20050203000257 |
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