| Dr. Andy's Family Practice , Pllc | |
|
1809 Ozarka College Drive Mountain View AR 72560 | |
| (870) 269-7777 | |
| Not Available |
| Full Name | Dr. Andy's Family Practice , Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1809 Ozarka College Drive, Mountain View, Arkansas |
| Authorized Official Name and Position | Vasugie Anandaraj (OFFICE MANAGER) |
| Authorized Official Contact | 8702697777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Andy's Family Practice , Pllc Po Box 1198 Mountain View AR 72560-1198 Ph: (870) 269-7777 | Dr. Andy's Family Practice , Pllc 1809 Ozarka College Drive Mountain View AR 72560 Ph: (870) 269-7777 |
| NPI Number | 1497996888 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 10/07/2011 |
| Medicare PECOS PAC ID | 6901950203 |
|---|---|
| Medicare Enrollment ID | O20090821000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497996888 | NPI | - | NPPES |
| 161503001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Anandaraj Subramanium |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194767657 PECOS PAC ID: 0143224105 Enrollment ID: I20060905000404 |
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