| Peter R Coelho M D Inc | |
|
9460 N Name Uno Suite 115 Gilroy CA 95020-3537 | |
| (408) 707-0234 | |
| Not Available |
| Full Name | Peter R Coelho M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9460 N Name Uno, Gilroy, California |
| Authorized Official Name and Position | Peter Robert Coelho (OWNER) |
| Authorized Official Contact | 4087070234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter R Coelho M D Inc Po Box 2562 Hollister CA 95024-2562 Ph: (831) 801-3003 | Peter R Coelho M D Inc 9460 N Name Uno Suite 115 Gilroy CA 95020-3537 Ph: (408) 707-0234 |
| NPI Number | 1679772982 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 05/17/2017 |
| Medicare PECOS PAC ID | 7911943790 |
|---|---|
| Medicare Enrollment ID | O20100630000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679772982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A71852 (California) | Primary |
| Provider Name | Peter Robert Coelho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285740480 PECOS PAC ID: 0941331243 Enrollment ID: I20100630000746 |
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