| Geetha Puri, Md. Pc. | |
|
12830 Hesperia Rd Ste A Victorville CA 92395-7788 | |
| (760) 243-0464 | |
| (760) 243-5442 |
| Full Name | Geetha Puri, Md. Pc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12830 Hesperia Rd Ste A, Victorville, California |
| Authorized Official Name and Position | Geetha Puri (OWNER) |
| Authorized Official Contact | 7602430464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geetha Puri, Md. Pc. 12830 Hesperia Rd Ste A Victorville CA 92395-7788 Ph: (760) 243-0464 | Geetha Puri, Md. Pc. 12830 Hesperia Rd Ste A Victorville CA 92395-7788 Ph: (760) 243-0464 |
| NPI Number | 1255812806 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 8123365335 |
|---|---|
| Medicare Enrollment ID | O20190125002220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255812806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Geetha Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336312446 PECOS PAC ID: 4385703396 Enrollment ID: I20081105000795 |
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