Everest Health Care Specialists Pllc | |
142 Lake St Arlington MA 02474-8874 | |
(781) 777-2320 | |
(781) 777-1652 |
Full Name | Everest Health Care Specialists Pllc |
---|---|
Speciality | Internal Medicine |
Location | 142 Lake St, Arlington, Massachusetts |
Authorized Official Name and Position | Bishal Kanta Mainali (PROVIDER) |
Authorized Official Contact | 7817772320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Everest Health Care Specialists Pllc 142 Lake St # 2 Arlington MA 02474-8874 Ph: (781) 777-2320 | Everest Health Care Specialists Pllc 142 Lake St Arlington MA 02474-8874 Ph: (781) 777-2320 |
NPI Number | 1366741589 |
---|---|
Provider Enumeration Date | 03/28/2011 |
Last Update Date | 01/13/2015 |
Medicare PECOS PAC ID | 7416133160 |
---|---|
Medicare Enrollment ID | O20110516000193 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366741589 | NPI | - | NPPES |
213454 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 230502 (Massachusetts) | Primary |
Provider Name | Bishal Mainali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700936747 PECOS PAC ID: 3971602756 Enrollment ID: I20070619000581 |
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