Provider Demographics
NPI: | 1326423302 |
---|---|
Name: | OACARE, INC. |
Entity type: | Organization |
Organization Name: | OACARE, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | VIDYA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PARAMESWARAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 408-866-1135 |
Mailing Address - Street 1: | 700 W PARR AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | LOS GATOS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95032-1442 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 408-866-1135 |
Mailing Address - Fax: | 408-866-7926 |
Practice Address - Street 1: | 700 W PARR AVE |
Practice Address - Street 2: | |
Practice Address - City: | LOS GATOS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95032-1442 |
Practice Address - Country: | US |
Practice Address - Phone: | 408-866-1135 |
Practice Address - Fax: | 408-866-7926 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-07-20 |
Last Update Date: | 2015-07-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | A86906 | 207RR0500X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Single Specialty |