| Eleete Physicians, Llc | |
|
5700 Old Richmond Ave Suite A-5 Richmond VA 23226-1828 | |
| (804) 358-1492 | |
| (804) 358-1491 |
| Full Name | Eleete Physicians, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5700 Old Richmond Ave, Richmond, Virginia |
| Authorized Official Name and Position | Matthew C Lee (PRACTITIONER/OWNER) |
| Authorized Official Contact | 8043581492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleete Physicians, Llc 5700 Old Richmond Ave Suite A-5 Richmond VA 23226-1828 Ph: (804) 358-1492 | Eleete Physicians, Llc 5700 Old Richmond Ave Suite A-5 Richmond VA 23226-1828 Ph: (804) 358-1492 |
| NPI Number | 1568699429 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 10/11/2013 |
| Medicare PECOS PAC ID | 9133438807 |
|---|---|
| Medicare Enrollment ID | O20151020001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568699429 | NPI | - | NPPES |
| 1780893917 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101239897 (Virginia) | Primary |
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