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SUDHA G MADABHUSHI MD INC NPI 1215021936


NPI Information

NPI: 1215021936
Provider Name: SUDHA G MADABHUSHI MD INC

Doing Business As: ACCLAIM MEDICAL CARE INC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D1056587

Address:
304 W LATHAM AVE
HEMET, CA
ZIP 92543
Phone: (951) 925-7170
Get Directions

SUDHA G MADABHUSHI MD INC is an internal medicine in Hemet, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SUDHA G MADABHUSHI MD INC NPI is 1215021936. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Acclaim Medical Care Inc.

The provider's business location address is:

304 W LATHAM AVE
HEMET, CA
ZIP 92543-106
Phone: (951) 925-7170
Fax: (951) 925-7027

The provider's authorized official is Sudha G Madabhushi .
The authorized official title is President and has the following contact phone number (951) 929-6260.

The CLIA number assigned to this NPI record is 05D1056587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineA70292CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ03687ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0104430MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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