| East County Internal Medicine Pa | |
|
6050 State Road 70 E Unit B Bradenton FL 34203-9700 | |
| (941) 727-7771 | |
| Not Available |
| Full Name | East County Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6050 State Road 70 E Unit B, Bradenton, Florida |
| Authorized Official Name and Position | Mike Clarke (MANAGER) |
| Authorized Official Contact | 6027484831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East County Internal Medicine Pa 6050 State Road 70 E Unit B Bradenton FL 34203-9700 Ph: () - | East County Internal Medicine Pa 6050 State Road 70 E Unit B Bradenton FL 34203-9700 Ph: (941) 727-7771 |
| NPI Number | 1942740170 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Medicare PECOS PAC ID | 0143507137 |
|---|---|
| Medicare Enrollment ID | O20170428001531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942740170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS11917 (Florida) | Primary |
| Provider Name | Shaan Raj Kunwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205148491 PECOS PAC ID: 2062650559 Enrollment ID: I20130522000344 |
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