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Deccan Pacific Medical Group
Specialist in Fremont, California
NPI 1437379765

Deccan Pacific Medical Group is a Specialist based in Fremont, CA. Deccan Pacific Medical Group practices in Fremont, CA. The NPI Number for Deccan Pacific Medical Group is 1437379765 and holds a License No. A33814 (California).

The current practice location address for Deccan Pacific Medical Group is 1860 Mowry Ave Ste 400, Fremont, CA and can be reached out via phone at 510-284-4100 and via fax at 510-794-9783.

Location: 1860 Mowry Ave Ste 400, Fremont, CA, 94538-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437379765
Provider Name
Deccan Pacific Medical Group
Credential
Provider Entity Type
Organization
Address
1860 Mowry Ave Ste 400, Fremont, CA, 94538-1730
Phone Number
510-284-4100
Fax Number
510-794-9783
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ21948Z 01 CA MEDICARE ID TYPE
institution
Provider Business Practice Location Address Details
Address
1860 Mowry Ave Ste 400
City
Fremont
State
California
Zip
94538-1730
Phone Number
510-284-4100
Fax Number
510-794-9783
person
Provider Business Mailing Address Details
Address
1860 Mowry Ave Ste 400
City
Fremont
State
California
Zip
94538-1730
Phone Number
510-284-4100
Fax Number
510-794-9783
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A33814 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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