Diabetes, Osteoporosis & Weight Loss Center Pllc | |
2101 Cornwall Ave Ste 101 Bellingham WA 98225-3676 | |
(360) 288-4343 | |
(360) 339-5566 |
Full Name | Diabetes, Osteoporosis & Weight Loss Center Pllc |
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Speciality | Family Medicine |
Location | 2101 Cornwall Ave Ste 101, Bellingham, Washington |
Authorized Official Name and Position | Alexander Constantin Gelou (PRESIDENT) |
Authorized Official Contact | 3602884343 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diabetes, Osteoporosis & Weight Loss Center Pllc 2101 Cornwall Ave Ste 101 Bellingham WA 98225-3676 Ph: () - | Diabetes, Osteoporosis & Weight Loss Center Pllc 2101 Cornwall Ave Ste 101 Bellingham WA 98225-3676 Ph: (360) 288-4343 |
NPI Number | 1497490130 |
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Provider Enumeration Date | 04/27/2022 |
Last Update Date | 07/11/2022 |
Medicare PECOS PAC ID | 6204215205 |
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Medicare Enrollment ID | O20220622001703 |
Identifier | Type | State | Issuer |
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1497490130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alexander Constantin Gelou |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316200603 PECOS PAC ID: 2961630413 Enrollment ID: I20170308002563 |
Provider Name | Sandhya Manivannan Gelou |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447515853 PECOS PAC ID: 1759506686 Enrollment ID: I20191211003143 |
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