Drs Blum & Desai Llc | |
545 N River St Suite 230 Wilkes Barre PA 18702-2600 | |
(570) 826-0526 | |
(570) 824-0688 |
Full Name | Drs Blum & Desai Llc |
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Speciality | Internal Medicine |
Location | 545 N River St, Wilkes Barre, Pennsylvania |
Authorized Official Name and Position | Richard H Blum (PARTNER) |
Authorized Official Contact | 5708260526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drs Blum & Desai Llc 545 N River St Suite 230 Wilkes Barre PA 18702-2600 Ph: (570) 826-0526 | Drs Blum & Desai Llc 545 N River St Suite 230 Wilkes Barre PA 18702-2600 Ph: (570) 826-0526 |
NPI Number | 1356581060 |
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Provider Enumeration Date | 02/20/2009 |
Last Update Date | 11/04/2009 |
Medicare PECOS PAC ID | 9830249242 |
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Medicare Enrollment ID | O20090605000207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356581060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17389E (Pennsylvania) | Primary |
Provider Name | Richard Harvey Blum |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437173580 PECOS PAC ID: 1557469715 Enrollment ID: I20070612000223 |
Provider Name | Sandhya P Desai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790703775 PECOS PAC ID: 0648350876 Enrollment ID: I20071231000142 |
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