MEDICARE: DR. MAHA B TOMA M.D.

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	207R00000X	Internal Medicine Physician	K5229	TX
2	207R00000X	Internal Medicine Physician	C51245	CA

General Provider Information

NPI Number	:	1427108125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHA B TOMA M.D.

Provider Business Mailing Address
First Line	:	DEPT 34929
Second Line	:	P.O. BOX 39000
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94139-0001
Country	:	US
Telephone Number	:	925-952-2828
Fax Number	:	925-952-2850

Provider Business Practice Location Address
First Line	:	3466 MT DIABLO BLVD
Second Line	:	SUITE C-104
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-7106
Country	:	US
Telephone Number	:	925-284-4442
Fax Number	:	925-283-8687

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	08/27/2013

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