| Allam Medical Group Llc | |
|
73 Park St 3rd Floor Montclair NJ 07042-2903 | |
| (973) 746-0595 | |
| Not Available |
| Full Name | Allam Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 73 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | Naveen Allam (PARTNER) |
| Authorized Official Contact | 9737460595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allam Medical Group Llc 73 Park St 3rd Floor Montclair NJ 07042-2903 Ph: () - | Allam Medical Group Llc 73 Park St 3rd Floor Montclair NJ 07042-2903 Ph: (973) 746-0595 |
| NPI Number | 1972994077 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Medicare PECOS PAC ID | 9537461140 |
|---|---|
| Medicare Enrollment ID | O20160113000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972994077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Reddy B Allam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437117827 PECOS PAC ID: 7517923170 Enrollment ID: I20041206000309 |
| Provider Name | Naveen Allam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790051191 PECOS PAC ID: 0648580241 Enrollment ID: I20151111001746 |
| Provider Name | Bharat Reddy Allam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780001891 PECOS PAC ID: 8224307905 Enrollment ID: I20170712001518 |
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