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NPI Code Detail

MEDICARE: PALLIATIVE PARTNERS, INC

MEDICARE: PALLIATIVE PARTNERS, INC
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
1208D00000XGeneral Practice PhysicianA53772CA

General Provider Information

NPI Number : 1134304447
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALLIATIVE PARTNERS, INC
Provider Business Mailing Address
First Line : 4310 ORANGE ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3829
Country : US
Telephone Number : 951-781-6335
Fax Number : 951-781-6365
Provider Business Practice Location Address
First Line : 4310 ORANGE ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3829
Country : US
Telephone Number : 951-781-6335
Fax Number : 951-781-6365
Authorized Official
Title or Position : PRESIDENT
Name : DR. TAREK Z MAHDI
Credential : M.D.
Telephone Number : 951-781-6335
Provider Enumeration Date : 01/04/2008
Last Update Date : 10/10/2012

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Directions to “PALLIATIVE PARTNERS, INC ” Practice Location

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