| Gm Neurologic Health Associates Llc | |
|
2119 Marietta Ave Ste 1 Lancaster PA 17603-2207 | |
| (717) 200-1122 | |
| (717) 745-3824 |
| Full Name | Gm Neurologic Health Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2119 Marietta Ave Ste 1, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Gangadhar Madupu (OWENER /PROPRITOR) |
| Authorized Official Contact | 7173330366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gm Neurologic Health Associates Llc 2119 Marietta Ave Ste 1 Lancaster PA 17603-2207 Ph: (717) 200-1122 | Gm Neurologic Health Associates Llc 2119 Marietta Ave Ste 1 Lancaster PA 17603-2207 Ph: (717) 200-1122 |
| NPI Number | 1255052668 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 0042686016 |
|---|---|
| Medicare Enrollment ID | O20221017000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255052668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Gangadhar Madupu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114017969 PECOS PAC ID: 3971580747 Enrollment ID: I20191223000351 |
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