| Mario A. Malvehy, M.d., Inc | |
|
4695 Chabot Dr Ste 200 Pleasanton CA 94588-2756 | |
| (925) 494-0898 | |
| Not Available |
| Full Name | Mario A. Malvehy, M.d., Inc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 4695 Chabot Dr Ste 200, Pleasanton, California |
| Authorized Official Name and Position | Mario A Malvehy (PRESIDENT) |
| Authorized Official Contact | 3054983034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario A. Malvehy, M.d., Inc 900 Tendilla Ave Coral Gables FL 33134-6446 Ph: (305) 498-3034 | Mario A. Malvehy, M.d., Inc 4695 Chabot Dr Ste 200 Pleasanton CA 94588-2756 Ph: (925) 494-0898 |
| NPI Number | 1568965655 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/14/2018 |
| Medicare PECOS PAC ID | 2860755295 |
|---|---|
| Medicare Enrollment ID | O20180417000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568965655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Mario Albert Malvehy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386619054 PECOS PAC ID: 7911142427 Enrollment ID: I20180425001577 |
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