| Surekha S Vetsa Md A Medical Corporation | |
|
150 N Jackson Ave Ste 105c San Jose CA 95116-1908 | |
| (650) 888-1917 | |
| Not Available |
| Full Name | Surekha S Vetsa Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 N Jackson Ave Ste 105c, San Jose, California |
| Authorized Official Name and Position | Surekha Santoshkumar Vetsa (CEO OF SUREKHA S VETSA MD A MEDICAL) |
| Authorized Official Contact | 6508887556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surekha S Vetsa Md A Medical Corporation 1351 Selo Drive Sunnyvale CA 94087-4411 Ph: (650) 888-7556 | Surekha S Vetsa Md A Medical Corporation 150 N Jackson Ave Ste 105c San Jose CA 95116-1908 Ph: (650) 888-1917 |
| NPI Number | 1619043874 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 09/24/2018 |
| Medicare PECOS PAC ID | 6305848656 |
|---|---|
| Medicare Enrollment ID | O20070215000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619043874 | NPI | - | NPPES |
| Provider Name | Surekha S Vetsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184650871 PECOS PAC ID: 3274588306 Enrollment ID: I20050322000225 |
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