| Complete Family Medicine Pllc | |
|
104 Whalon St Ste 2a Fitchburg MA 01420-7128 | |
| (978) 345-1700 | |
| Not Available |
| Full Name | Complete Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Whalon St Ste 2a, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Deepthi Pandraju (PHYSICIAN) |
| Authorized Official Contact | 9783451700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Medicine Pllc 104 Whalon St Ste 2a Fitchburg MA 01420-7128 Ph: (978) 345-1700 | Complete Family Medicine Pllc 104 Whalon St Ste 2a Fitchburg MA 01420-7128 Ph: (978) 345-1700 |
| NPI Number | 1225797079 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 02/21/2022 |
| Medicare PECOS PAC ID | 4587057336 |
|---|---|
| Medicare Enrollment ID | O20220131001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225797079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Deepthi Pandraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073734901 PECOS PAC ID: 6800081464 Enrollment ID: I20101109001488 |
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