| Radwan P C | |
|
1619 Foxworthy Ave San Jose CA 95118-1008 | |
| (917) 376-2132 | |
| Not Available |
| Full Name | Radwan P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 1619 Foxworthy Ave, San Jose, California |
| Authorized Official Name and Position | Sameh Mahmoud Mohamed (PRESIDENT) |
| Authorized Official Contact | 9173762132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radwan P C 1619 Foxworthy Ave San Jose CA 95118-1008 Ph: () - | Radwan P C 1619 Foxworthy Ave San Jose CA 95118-1008 Ph: (917) 376-2132 |
| NPI Number | 1962218024 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 02/07/2025 |
| Medicare PECOS PAC ID | 4284164559 |
|---|---|
| Medicare Enrollment ID | O20250217000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962218024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sameh Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235615006 PECOS PAC ID: 8325381569 Enrollment ID: I20230914000883 |
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