Provider Demographics
NPI:1518115435
Name:MEDICAL ASSOCIATES OF FREMONT, INC
Entity Type:Organization
Organization Name:MEDICAL ASSOCIATES OF FREMONT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANMOL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:MAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-794-1990
Mailing Address - Street 1:39225 STATE ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1437
Mailing Address - Country:US
Mailing Address - Phone:510-794-1990
Mailing Address - Fax:510-794-1341
Practice Address - Street 1:39225 STATE STREET
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1437
Practice Address - Country:US
Practice Address - Phone:510-794-1990
Practice Address - Fax:510-794-1341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30923207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty