| Cleveland Medical Associates, Pa Dba Piedmont Family Care | |
|
114 Lee St Shelby NC 28150-3839 | |
| (704) 480-0685 | |
| (704) 480-7356 |
| Full Name | Cleveland Medical Associates, Pa Dba Piedmont Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 114 Lee St, Shelby, North Carolina |
| Authorized Official Name and Position | Surendra Pal Sidhu (OWNER) |
| Authorized Official Contact | 7044800685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Medical Associates, Pa Dba Piedmont Family Care 114 Lee St Shelby NC 28150-3839 Ph: (704) 480-0685 | Cleveland Medical Associates, Pa Dba Piedmont Family Care 114 Lee St Shelby NC 28150-3839 Ph: (704) 480-0685 |
| NPI Number | 1841389343 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618049388 |
|---|---|
| Medicare Enrollment ID | O20080714000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841389343 | NPI | - | NPPES |
| 890172T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 94-01034 (North Carolina) | Primary |
| Provider Name | Surendra P S Sidhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740251651 PECOS PAC ID: 5496769234 Enrollment ID: I20060131000646 |
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