| Berkshire Internal Medicine, Llc | |
|
51 S Church St Pittsfield MA 01201-6132 | |
| (413) 768-8217 | |
| Not Available |
| Full Name | Berkshire Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 51 S Church St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Mala S Shetty (MANAGER) |
| Authorized Official Contact | 4137688217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Internal Medicine, Llc 51 S Church St Pittsfield MA 01201-6132 Ph: (413) 768-8217 | Berkshire Internal Medicine, Llc 51 S Church St Pittsfield MA 01201-6132 Ph: (413) 768-8217 |
| NPI Number | 1164641890 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 05/24/2012 |
| Medicare PECOS PAC ID | 6406953959 |
|---|---|
| Medicare Enrollment ID | O20070518000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164641890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 222509 (Massachusetts) | Primary |
| Provider Name | Mala Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851461255 PECOS PAC ID: 2860431582 Enrollment ID: I20050504000996 |
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