| Dr Ganapathi Baskar Medical Pc | |
|
7915 Metropolitan Ave Middle Village NY 11379-2930 | |
| (718) 894-7907 | |
| Not Available |
| Full Name | Dr Ganapathi Baskar Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7915 Metropolitan Ave, Middle Village, New York |
| Authorized Official Name and Position | Ganapathi Baskar (PRESIDENT) |
| Authorized Official Contact | 6466430816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ganapathi Baskar Medical Pc 8128 268th St Floral Park NY 11004-1546 Ph: () - | Dr Ganapathi Baskar Medical Pc 7915 Metropolitan Ave Middle Village NY 11379-2930 Ph: (718) 894-7907 |
| NPI Number | 1578789202 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 12/16/2013 |
| Medicare PECOS PAC ID | 9335127000 |
|---|---|
| Medicare Enrollment ID | O20040709000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578789202 | NPI | - | NPPES |
| 02083645 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 218878 (New York) | Primary |
| Provider Name | Ganapathi Baskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386604718 PECOS PAC ID: 8022096791 Enrollment ID: I20040709000579 |
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