| Baghel Medical Pllc | |
|
2425 Broadway Watervliet NY 12189-2231 | |
| (518) 233-1140 | |
| (518) 233-1165 |
| Full Name | Baghel Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2425 Broadway, Watervliet, New York |
| Authorized Official Name and Position | Ashok Baghel (OWNER) |
| Authorized Official Contact | 5182331140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baghel Medical Pllc 2425 Broadway Watervliet NY 12189-2231 Ph: (518) 233-1140 | Baghel Medical Pllc 2425 Broadway Watervliet NY 12189-2231 Ph: (518) 233-1140 |
| NPI Number | 1336570175 |
|---|---|
| Provider Enumeration Date | 12/04/2013 |
| Last Update Date | 12/04/2013 |
| Medicare PECOS PAC ID | 4880825090 |
|---|---|
| Medicare Enrollment ID | O20140331001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336570175 | NPI | - | NPPES |
| PENDING | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashok Baghel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639105109 PECOS PAC ID: 7618867680 Enrollment ID: I20040316000476 |
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