| Dn Medical Consultants Llc | |
|
1 Spring Back Way Anderson SC 29621-2676 | |
| (864) 716-2600 | |
| (205) 262-8658 |
| Full Name | Dn Medical Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Spring Back Way, Anderson, South Carolina |
| Authorized Official Name and Position | Damodhar Nerella (OWNER) |
| Authorized Official Contact | 8649408482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dn Medical Consultants Llc 119 Charping Ln Anderson SC 29621-2565 Ph: (864) 940-8482 | Dn Medical Consultants Llc 1 Spring Back Way Anderson SC 29621-2676 Ph: (864) 716-2600 |
| NPI Number | 1568078178 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Medicare PECOS PAC ID | 4385063163 |
|---|---|
| Medicare Enrollment ID | O20200928002607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568078178 | NPI | - | NPPES |
| 27041 | Other | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Damodhar Nerella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396794145 PECOS PAC ID: 0345213070 Enrollment ID: I20040819000462 |
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