Delaware Infectious Diseases Corporation | |
31 Gooden Ave Dover DE 19904-4143 | |
(302) 674-9141 | |
Not Available |
Full Name | Delaware Infectious Diseases Corporation |
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Speciality | Internal Medicine - Infectious Disease |
Location | 31 Gooden Ave, Dover, Delaware |
Authorized Official Name and Position | Ramesh Vemulapalli (PRESIDENT/OWNER) |
Authorized Official Contact | 3026749141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Delaware Infectious Diseases Corporation 31 Gooden Ave Dover DE 19904-4143 Ph: (302) 674-9141 | Delaware Infectious Diseases Corporation 31 Gooden Ave Dover DE 19904-4143 Ph: (302) 674-9141 |
NPI Number | 1144256421 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144256421 | NPI | - | NPPES |
1000036296 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C1-0005882 (Delaware) | Primary |
207RI0200X | Internal Medicine - Infectious Disease | C1-0005882 (Delaware) | Primary |
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