| Briyot Healthcare Pc | |
|
5164 E 81st Ave Ste 127 Merrillville IN 46410-5852 | |
| (310) 933-5688 | |
| Not Available |
| Full Name | Briyot Healthcare Pc |
|---|---|
| Speciality | General Practice |
| Location | 5164 E 81st Ave Ste 127, Merrillville, Indiana |
| Authorized Official Name and Position | Michael Farah (MANAGER) |
| Authorized Official Contact | 3108797167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Briyot Healthcare Pc 8200 Wilshire Blvd Ste 300 Beverly Hills CA 90211-2321 Ph: (310) 933-5688 | Briyot Healthcare Pc 5164 E 81st Ave Ste 127 Merrillville IN 46410-5852 Ph: (310) 933-5688 |
| NPI Number | 1609559319 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 7517311020 |
|---|---|
| Medicare Enrollment ID | O20231002001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609559319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stephanie Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821574187 PECOS PAC ID: 9133459316 Enrollment ID: I20191001003381 |
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