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NPI Code Detail

MEDICARE: ABSOLUTE BEST MEDICAL PRACTICE INC

MEDICARE: ABSOLUTE BEST MEDICAL PRACTICE 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
1261QP2300XPrimary Care Clinic/CenterA87056CA

General Provider Information

NPI Number : 1568864239
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABSOLUTE BEST MEDICAL PRACTICE INC
Provider Business Mailing Address
First Line : 1734 N RIVERSIDE AVE
Second Line : STE #2
City : RIALTO
State : CA
Zip : 92376-8058
Country : US
Telephone Number : 909-875-3595
Fax Number :
Provider Business Practice Location Address
First Line : 1734 N RIVERSIDE AVE
Second Line : STE #2
City : RIALTO
State : CA
Zip : 92376-8058
Country : US
Telephone Number : 909-875-3595
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAVINDRANATH SHAHANE
Credential : MD
Telephone Number : 909-875-3595
Provider Enumeration Date : 09/24/2014
Last Update Date : 09/24/2014

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Directions to “ABSOLUTE BEST MEDICAL PRACTICE INC ” Practice Location

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