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Mrunal Parab

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3665 Kearny Villa Rd, Suite 101, San Diego, CA 92123-1953

PECOS Enrollment

Based on the most recent information from CMS, provider Mrunal Parab is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518307511
Provider Type
Individual
Full Name
Parab, Mrunal
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/5/2013
Last Updated
8/18/2016

Contact Information

Practice Location

3665 Kearny Villa Rd, Suite 101, San Diego, CA 92123-1953

(510) 786-8501

Unlisted Fax

Mailing Location

3665 Kearny Villa Rd, Suite 101, San Diego, CA 92123-1953

(510) 786-8501

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A137491 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 29851 Oklahoma

Mrunal Parab

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Gibney, Joshua Mark

Kuo, Jessica

Richard L Buccigross Md A Medical Corporation

Lozano Camhi, Michelle Irene

Mcginley, Nancy Rodriguez

Hall, Joseph Robert

Kaushik, Renu Vishwanath

Hong, Suzie

Chory, Kayla Alvine

Masillamoni, Stephen Ranjit