Patel, Pulliam & Hubli A Professional Medical Corp, NPI 1568522878
Family Medicine Physician in Tracy, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1568522878
NPI Entity Type Organization
Provider Name Patel, Pulliam & Hubli A Professional Medical Corp
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 644 W 12th St, Tracy, CA, US
Provider Mailing Address 644 W 12th St, Tracy, CA, US, 953763437
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Jagdish Ambalal Patel
Official Position PRESIDENT
Phone 209-832-8984

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 20A7496
License State CA
Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Organization Name

Tracy Occupational Medical Center
Doing Business As

Business Address

Patel, Pulliam & Hubli A Professional Medical Corp
644 W 12th St

Tracy, CA, US

Phone: 209-832-8984
Fax: 209-832-8988

Mailing Address

Patel, Pulliam & Hubli A Professional Medical Corp
644 W 12th St
Tracy, CA, US
ZIP 953763437
Phone: 209-832-8984
Fax: 209-832-8988

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
A31816 CA STATE LICENSE DR. PATEL 01
AP8331112 CA DR. PATEL BNDD NUMBER 01
BH8637881 CA DR. HUBLI BNDD NUMBER 01
00A85126 CA MEDICAID 05
20A7496 CA STATE LICENSE DR. PULLIAM 01
A855092 CA STATE LICENSE DR. HUBLI 01
AP8331112 CA BNDD NUMBER 01
00A318160 CA MEDICAID 05
05D0695064903593 CA CLIA NUMBER 01
BP4399944 CA DR. PULLIAM BNDD NUMBER 01

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NPI Name Taxonomy Address

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AMFT Johanna Belen Brubaker

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April Waight

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Catherine S. Montemayor

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LMFT Jeremey Sulker-hall

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M.D., M.P.H. Vivek Datta

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MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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