Basic Information
| Provider Information | |||||||||
| NPI: | 1972512911 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAY AREA IN PATIENT GROUP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1525 WEBSTER ST | ||||||||
| Address2: | SUITE A | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945330000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074232510 | ||||||||
| FaxNumber: | 7074254236 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 NUT TREE ROAD | ||||||||
| Address2: | |||||||||
| City: | VACAVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956870000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074293600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2006 | ||||||||
| LastUpdateDate: | 01/07/2008 | ||||||||
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| AuthorizedOfficialLastName: | PRAVIN | ||||||||
| AuthorizedOfficialFirstName: | PARESH | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 7074232510 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.