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MINA SEHHAT MD PC NPI 1104101898


NPI Information

NPI: 1104101898
Provider Name: MINA SEHHAT MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2101 FOREST AVE
SUITE # 104
SAN JOSE, CA
ZIP 95128
Phone: (408) 975-7680
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MINA SEHHAT MD PC is a primary care clinic center in San Jose, CA. MINA SEHHAT MD PC NPI is 1104101898. The provider is registered as an organization entity type.

The provider's business location address is:

2101 FOREST AVE
SUITE # 104
SAN JOSE, CA
ZIP 95128-448
Phone: (408) 975-7680

The provider's authorized official is Mina Sehhat .
The authorized official title is Ceo and has the following contact phone number (408) 975-7680.

The enumeration date for this NPI number is 10/13/2011 and was last updated on 10/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareA63182CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A631820MEDICAIDCALIFORNIA
2G32665MEDICARE UPIN

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: 4/28/2024

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