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NPI Code Detail

MEDICARE: NEW DANVILLE MEDICAL GROUP, INC

MEDICARE: NEW DANVILLE MEDICAL GROUP, 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
1207R00000XInternal Medicine Physician
2208000000XPediatrics Physician
3207RG0300XGeriatric Medicine (Internal Medicine) Physician
4363A00000XPhysician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11982608568OTHERCAUU. GHEEWALA MD NPI#
21982608576OTHERCANPI # S MANN PA-C
31124022710OTHERARJ. SIINO, MD NPI #

General Provider Information

NPI Number : 1710934054
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DANVILLE MEDICAL GROUP, INC
Provider Business Mailing Address
First Line : 907 SAN RAMON VALLEY BLVD
Second Line : SUITE #202
City : DANVILLE
State : CA
Zip : 94526-4036
Country : US
Telephone Number : 925-837-4202
Fax Number : 925-838-3224
Provider Business Practice Location Address
First Line : 907 SAN RAMON VALLEY BLVD
Second Line : SUITE #202
City : DANVILLE
State : CA
Zip : 94526-4036
Country : US
Telephone Number : 925-837-4202
Fax Number : 925-838-3224
Authorized Official
Title or Position : C.E.O
Name : UMESH HANASRAG GHEEWALA
Credential : M.D.
Telephone Number : 925-837-4202
Provider Enumeration Date : 05/30/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1982608576 — MS. SIRINTORN R MANN PA-C
Practice Location Address:
907 SAN RAMON VALLEY BLVD , STE 202
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Practice Phone: 925-837-4202
Practice Fax: 925-838-3224
1053375188 — DR. DENISE MARIA HILLIARD M.D.
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1023115896 — DR. MARK ALAN GRAHAM DDS
Practice Location Address:
907 SAN RAMON VALLEY BLVD STE 104
DANVILLE, CA
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Practice Phone: 925-820-3000
Practice Fax: 925-820-6293
1174614218 — DR. UMA SUBRAMANIAM DESAI M.D.
Practice Location Address:
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1407926942 — MS. SHOHREH DOUSTANI L.AC.
Practice Location Address:
907 SAN RAMON VALLEY BLVD , SUITE 104
DANVILLE, CA
94526-4036
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Practice Fax:
1205961323 — MRS. ERIN FRANCES MEYER LMFT #79292
Practice Location Address:
907 SAN RAMON VALLEY BLVD STE 202
DANVILLE, CA
94526-4036
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Practice Fax:

Directions to “NEW DANVILLE MEDICAL GROUP, INC ” Practice Location

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