Mohammed Miradi Md Inc - Medicare Primary Care in La Mesa, CA

Mohammed Miradi Md Inc is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in La Mesa, California. The current practice location for Mohammed Miradi Md Inc is 5565 Grossmont Center Dr, Ste 211, La Mesa, California. For appointments, you can reach them via phone at (619) 644-1483. The mailing address for Mohammed Miradi Md Inc is Po Box 2353, La Mesa, California and phone number is (619) 644-1483.

Mohammed Miradi Md Inc is licensed to practice in California (license number A53125). The clinic also participates in the medicare program and its NPI number is 1033326889. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (619) 644-1483.

Contact Information

Mohammed Miradi Md Inc
5565 Grossmont Center Dr
Ste 211
La Mesa
CA 91942-3020
(619) 644-1483
Not Available

Primary Care Clinic Profile

Full NameMohammed Miradi Md Inc
SpecialityInternal Medicine
Location5565 Grossmont Center Dr, La Mesa, California
Authorized Official Name and PositionMohammed Miradi (PRESIDENT)
Authorized Official Contact6196441483
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mohammed Miradi Md Inc
Po Box 2353
La Mesa
CA 91943-2353

Ph: (619) 644-1483
Mohammed Miradi Md Inc
5565 Grossmont Center Dr
Ste 211
La Mesa
CA 91942-3020

Ph: (619) 644-1483

NPI Details:

NPI Number1033326889
Provider Enumeration Date05/17/2007
Last Update Date03/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2466580337
Medicare Enrollment IDO20100513000651

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Medical Identifiers

Medical identifiers for Mohammed Miradi Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033326889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease A53125 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mohammed Miradi Md Inc acts as a billing entity for following providers:
Provider NameMohammed Miradi
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1225077654
PECOS PAC ID: 0749232171
Enrollment ID: I20050214001026

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Provider NameBraden Hale
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1598737587
PECOS PAC ID: 8729201223
Enrollment ID: I20140602002676

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Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942
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