| First State Infectious Diseases, Llc | |
|
200 Banning St Suite 230 Dover DE 19904-3487 | |
| (302) 678-0200 | |
| (302) 678-2300 |
| Full Name | First State Infectious Diseases, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Banning St, Dover, Delaware |
| Authorized Official Name and Position | Remesh Vemulapalli (MD) |
| Authorized Official Contact | 3025354608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First State Infectious Diseases, Llc 200 Banning St Suite 230 Dover DE 19904-3487 Ph: (302) 678-0200 | First State Infectious Diseases, Llc 200 Banning St Suite 230 Dover DE 19904-3487 Ph: (302) 678-0200 |
| NPI Number | 1972010924 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 09/11/2020 |
| Medicare PECOS PAC ID | 9234498098 |
|---|---|
| Medicare Enrollment ID | O20180124001646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972010924 | NPI | - | NPPES |
| 2504442244 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | C10005882 (Delaware) | Primary |
| Provider Name | Beverly J Maser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487932232 PECOS PAC ID: 8426363003 Enrollment ID: I20150811004541 |
| Provider Name | Farida A Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205123262 PECOS PAC ID: 3870889868 Enrollment ID: I20160830002437 |
| Provider Name | Maryam Munir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093293631 PECOS PAC ID: 7416301916 Enrollment ID: I20231003001325 |
Middletown Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4849 Fax: 302-739-6627 | |
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