MEDICARE: REEMA MENEZES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A141807	CA

General Provider Information

NPI Number	:	1366756900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REEMA MENEZES MD

Provider Business Mailing Address
First Line	:	40910 FREMONT BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-4375
Country	:	US
Telephone Number	:	510-770-8040
Fax Number	:

Provider Business Practice Location Address
First Line	:	40910 FREMONT BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-4375
Country	:	US
Telephone Number	:	510-770-8040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2010
Last Update Date	:	12/11/2021

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