| Phase Care, Inc | |
|
1191 E Herndon Ave Ste 102 Fresno CA 93720-3164 | |
| (559) 365-6677 | |
| Not Available |
| Full Name | Phase Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1191 E Herndon Ave Ste 102, Fresno, California |
| Authorized Official Name and Position | Mohammad Sheikh (CEO) |
| Authorized Official Contact | 9283656677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phase Care, Inc 1191 E Herndon Ave Ste 102 Fresno CA 93720-3164 Ph: () - | Phase Care, Inc 1191 E Herndon Ave Ste 102 Fresno CA 93720-3164 Ph: (559) 365-6677 |
| NPI Number | 1043067093 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 8729529615 |
|---|---|
| Medicare Enrollment ID | O20240918004189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043067093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mohammad Saad Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770146011 PECOS PAC ID: 4789918590 Enrollment ID: I20230207002759 |
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