| Bhaskar R. Yeturu Physician Pc | |
|
8712 58th Ave Elmhurst NY 11373-4821 | |
| (718) 426-4800 | |
| Not Available |
| Full Name | Bhaskar R. Yeturu Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8712 58th Ave, Elmhurst, New York |
| Authorized Official Name and Position | Bhaskar R Yeturu (PRESIDENT) |
| Authorized Official Contact | 9177054348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhaskar R. Yeturu Physician Pc 20 Vanad Dr Roslyn NY 11576-2527 Ph: (917) 705-4348 | Bhaskar R. Yeturu Physician Pc 8712 58th Ave Elmhurst NY 11373-4821 Ph: (718) 426-4800 |
| NPI Number | 1265706196 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 03/01/2012 |
| Medicare PECOS PAC ID | 5193984383 |
|---|---|
| Medicare Enrollment ID | O20120307000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265706196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225633 (New York) | Primary |
| Provider Name | Bhaskar R Yeturu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609882000 PECOS PAC ID: 7012981061 Enrollment ID: I20040824001419 |
| Provider Name | Lisa Irene Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336355759 PECOS PAC ID: 1153507678 Enrollment ID: I20110518000479 |
| Provider Name | Sergey Krupochkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174198303 PECOS PAC ID: 1658779186 Enrollment ID: I20211013001695 |
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