| Biby Rajan-george M.d Pllc | |
|
4000 Medical Center Drive Fayetteville NY 13066 | |
| (315) 637-2665 | |
| Not Available |
| Full Name | Biby Rajan-george M.d Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 Medical Center Drive, Fayetteville, New York |
| Authorized Official Name and Position | Biby Elizabeth Rajan-george (PHYSICIAN) |
| Authorized Official Contact | 3156372665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biby Rajan-george M.d Pllc 4000 Medical Center Drive Suite # 403 Fayetteville NY 13066 Ph: (315) 637-2665 | Biby Rajan-george M.d Pllc 4000 Medical Center Drive Fayetteville NY 13066 Ph: (315) 637-2665 |
| NPI Number | 1124790324 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
| Medicare PECOS PAC ID | 7517358195 |
|---|---|
| Medicare Enrollment ID | O20211216000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124790324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Biby Rajan-george |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205824976 PECOS PAC ID: 4183696776 Enrollment ID: I20040812001144 |
| Provider Name | Michael T Schiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245246933 PECOS PAC ID: 3173520178 Enrollment ID: I20061106000305 |
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