Shirdi Medical Corporation | |
1751 W Romneya Dr Anaheim CA 92801-1815 | |
(714) 776-3180 | |
(714) 991-1932 |
Full Name | Shirdi Medical Corporation |
---|---|
Speciality | Internal Medicine |
Location | 1751 W Romneya Dr, Anaheim, California |
Authorized Official Name and Position | Amirtha Ajit (OWNER) |
Authorized Official Contact | 7147763180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shirdi Medical Corporation 1751 W Romneya Dr Anaheim CA 92801-1815 Ph: (714) 776-3180 | Shirdi Medical Corporation 1751 W Romneya Dr Anaheim CA 92801-1815 Ph: (714) 776-3180 |
NPI Number | 1023003001 |
---|---|
Provider Enumeration Date | 09/15/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023003001 | NPI | - | NPPES |
00A561790 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A56179 (California) | Primary |
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