Pradeepa Selvakumar Md Inc, A California Professional Corporation - Medicare Primary Care in San Mateo, CA

Pradeepa Selvakumar Md Inc, A California Professional Corporation is a medicare enrolled primary clinic (Internal Medicine) in San Mateo, California. The current practice location for Pradeepa Selvakumar Md Inc, A California Professional Corporation is 101 S San Mateo Dr Ste 102, San Mateo, California. For appointments, you can reach them via phone at (650) 435-8211. The mailing address for Pradeepa Selvakumar Md Inc, A California Professional Corporation is 2889 Baze Rd, San Mateo, California and phone number is (415) 778-0813.

Pradeepa Selvakumar Md Inc, A California Professional Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013472950. 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 (650) 435-8211.

Contact Information

Pradeepa Selvakumar Md Inc, A California Professional Corporation
101 S San Mateo Dr Ste 102
San Mateo
CA 94401-3840
(650) 435-8211
(844) 965-9436

Primary Care Clinic Profile

Full NamePradeepa Selvakumar Md Inc, A California Professional Corporation
SpecialityInternal Medicine
Location101 S San Mateo Dr Ste 102, San Mateo, California
Authorized Official Name and PositionPradeepa Selvakumar (OWNER)
Authorized Official Contact6504358211
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pradeepa Selvakumar Md Inc, A California Professional Corporation
2889 Baze Rd
San Mateo
CA 94403-3436

Ph: (415) 778-0813
Pradeepa Selvakumar Md Inc, A California Professional Corporation
101 S San Mateo Dr Ste 102
San Mateo
CA 94401-3840

Ph: (650) 435-8211

NPI Details:

NPI Number1013472950
Provider Enumeration Date02/05/2019
Last Update Date02/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0143556670
Medicare Enrollment IDO20190722003026

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Medical Identifiers

Medical identifiers for Pradeepa Selvakumar Md Inc, A California Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013472950NPI-NPPES
1912090226OtherCAOTHER INSURANCES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pradeepa Selvakumar Md Inc, A California Professional Corporation acts as a billing entity for following providers:
Provider NamePradeepa Selvakumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912090226
PECOS PAC ID: 0446266548
Enrollment ID: I20060227000717

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