| Sheikh Gustaveson & Nassar Inc A Professional Corporation | |
|
1111 W 4th St Bld B Madera CA 93637-4474 | |
| (559) 662-2700 | |
| (559) 673-1588 |
| Full Name | Sheikh Gustaveson & Nassar Inc A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 W 4th St, Madera, California |
| Authorized Official Name and Position | Zafar I Sheikh (PRESIDENT) |
| Authorized Official Contact | 5596622700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheikh Gustaveson & Nassar Inc A Professional Corporation 1111 W 4th St Bld B Madera CA 93637-4474 Ph: (559) 662-2700 | Sheikh Gustaveson & Nassar Inc A Professional Corporation 1111 W 4th St Bld B Madera CA 93637-4474 Ph: (559) 662-2700 |
| NPI Number | 1699004044 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 02/11/2016 |
| Medicare PECOS PAC ID | 0446386114 |
|---|---|
| Medicare Enrollment ID | O20100405000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699004044 | NPI | - | NPPES |
| 1699004044 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Allan T Nassar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033129135 PECOS PAC ID: 4981765674 Enrollment ID: I20081213000121 |
| Provider Name | Steven J Gustaveson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598777559 PECOS PAC ID: 4688736135 Enrollment ID: I20081218000003 |
| Provider Name | Zafar I Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821000886 PECOS PAC ID: 9931107158 Enrollment ID: I20090220000175 |
| Provider Name | Deborah A Massetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508996422 PECOS PAC ID: 3072838366 Enrollment ID: I20150209000367 |
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