Banmaha Pc | |
1015 Franklin St Johnstown PA 15905-4155 | |
(814) 536-9715 | |
(814) 539-6138 |
Full Name | Banmaha Pc |
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Speciality | Internal Medicine |
Location | 1015 Franklin St, Johnstown, Pennsylvania |
Authorized Official Name and Position | Balkissoon A Maharajh (PYSICIAN) |
Authorized Official Contact | 8145369715 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Banmaha Pc 1015 Franklin St Level A Johnstown PA 15905-4155 Ph: () - | Banmaha Pc 1015 Franklin St Johnstown PA 15905-4155 Ph: (814) 536-9715 |
NPI Number | 1639114606 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 2466414586 |
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Medicare Enrollment ID | O20041101000958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639114606 | NPI | - | NPPES |
0019472520002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD051194L (Pennsylvania) | Primary |
Provider Name | Balkissoon Avinash Maharajh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679559272 PECOS PAC ID: 4981622107 Enrollment ID: I20100510000003 |
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