| Community Internist Associates Pc | |
|
92 Montvale Avenue Suite 2200 Stoneham MA 02180-3636 | |
| (781) 279-2030 | |
| (781) 279-2078 |
| Full Name | Community Internist Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 92 Montvale Avenue, Stoneham, Massachusetts |
| Authorized Official Name and Position | Kanu O Patel (PRESIDENT) |
| Authorized Official Contact | 7812792030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Internist Associates Pc 92 Montvale Avenue Suite 2200 Stoneham MA 02180-3636 Ph: (781) 279-2030 | Community Internist Associates Pc 92 Montvale Avenue Suite 2200 Stoneham MA 02180-3636 Ph: (781) 279-2030 |
| NPI Number | 1548307598 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 03/08/2016 |
| Medicare PECOS PAC ID | 7315964442 |
|---|---|
| Medicare Enrollment ID | O20051028000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548307598 | NPI | - | NPPES |
| 2067137 | Medicaid | MA | |
| 9774165 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 40952 (Massachusetts) | Secondary |
| Provider Name | Kanu O Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700827938 PECOS PAC ID: 9032136163 Enrollment ID: I20101027001389 |
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