Organization
CIVIC MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAMRATA MEHTA CPC (OFFICE MANAGER)
(510) 574-0800
Entity
Organization
Contact information
Practice address
2147 MOWRY AVE, SUITE D4, FREMONT, CA 94538-1724
(510) 574-0800
(510) 574-0850
Mailing address
2147 MOWRY AVE, SUITE D4, FREMONT, CA 94538-1724
(510) 574-0800
(510) 574-0850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
09/29/2014
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