Organization
DECCAN PACIFIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH C. KARIPINENI M. D. (PRESIDENT)
(510) 284-4100
Entity
Organization
Contact information
Practice address
1860 MOWRY AVE STE 400, FREMONT, CA 94538-1730
(510) 284-4100
(510) 794-9783
Mailing address
1860 MOWRY AVE STE 400, FREMONT, CA 94538-1730
(510) 284-4100
(510) 794-9783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ21948Z
MEDICARE ID TYPE
CA
Enumeration date
04/27/2007
Last updated
08/08/2014
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