| Steven M. Tilles, M.d., Inc. | |
|
2505 Samaritan Dr 405 San Jose CA 95124-4006 | |
| (408) 356-8133 | |
| (408) 356-6923 |
| Full Name | Steven M. Tilles, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2505 Samaritan Dr, San Jose, California |
| Authorized Official Name and Position | Steven M. Tilles (PRESIDENT) |
| Authorized Official Contact | 4083568133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven M. Tilles, M.d., Inc. 2505 Samaritan Dr 405 San Jose CA 95124-4006 Ph: (408) 356-8133 | Steven M. Tilles, M.d., Inc. 2505 Samaritan Dr 405 San Jose CA 95124-4006 Ph: (408) 356-8133 |
| NPI Number | 1033482351 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Medicare PECOS PAC ID | 8729249727 |
|---|---|
| Medicare Enrollment ID | O20120419000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033482351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Steven Tilles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841292745 PECOS PAC ID: 6800971730 Enrollment ID: I20120419000179 |
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