| Meena Medical Group, Inc | |
|
1600 Creekside Dr Ste 2100 Folsom CA 95630-3447 | |
| (916) 542-7467 | |
| (916) 932-4879 |
| Full Name | Meena Medical Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Creekside Dr Ste 2100, Folsom, California |
| Authorized Official Name and Position | Qais M Wahidi (CEO) |
| Authorized Official Contact | 9165427467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meena Medical Group, Inc 1600 Creekside Dr Ste 2100 Folsom CA 95630-3447 Ph: (916) 542-7467 | Meena Medical Group, Inc 1600 Creekside Dr Ste 2100 Folsom CA 95630-3447 Ph: (916) 542-7467 |
| NPI Number | 1710348321 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 1658679873 |
|---|---|
| Medicare Enrollment ID | O20160420002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710348321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A111390 (California) | Primary |
| Provider Name | Qais M Wahidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699931097 PECOS PAC ID: 1658403753 Enrollment ID: I20100723000839 |
| Provider Name | Sean Koulaboud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568837276 PECOS PAC ID: 0143527671 Enrollment ID: I20170505002072 |
| Provider Name | Asha Annie George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306682869 PECOS PAC ID: 8729517883 Enrollment ID: I20250120000240 |
Regents Of The University Of California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9350 | |
Folsom Lake Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2575 E Bidwell St Ste 210, Folsom, CA 95630 Phone: 916-984-7850 | |
Thrive Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2390 E Bidwell St Ste 300, Folsom, CA 95630 Phone: 916-316-6469 | |
Roy A Greenberg Md A Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Creekside Dr, Suite 2100, Folsom, CA 95630 Phone: 916-983-2663 Fax: 916-983-0602 | |
Haven Obgyn Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Creekside Dr Ste 3100, Folsom, CA 95630 Phone: 512-983-8809 Fax: 916-265-9659 | |
Healthy Living Primary Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 Fax: 916-983-8891 | |
Regents Of The University Of California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9300 |