| Gajanan W Laud Mdpc | |
|
6647 Grand Ave Maspeth NY 11378-2540 | |
| (718) 424-0700 | |
| (718) 424-9708 |
| Full Name | Gajanan W Laud Mdpc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6647 Grand Ave, Maspeth, New York |
| Authorized Official Name and Position | Gajanan W Laud (PRESIDENT) |
| Authorized Official Contact | 7184240700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gajanan W Laud Mdpc 6647 Grand Ave Maspeth NY 11378-2540 Ph: (718) 424-0700 | Gajanan W Laud Mdpc 6647 Grand Ave Maspeth NY 11378-2540 Ph: (718) 424-0700 |
| NPI Number | 1689906695 |
|---|---|
| Provider Enumeration Date | 02/02/2010 |
| Last Update Date | 04/16/2010 |
| Medicare PECOS PAC ID | 9830226711 |
|---|---|
| Medicare Enrollment ID | O20100423000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689906695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 128638 (New York) | Primary |
| Provider Name | Gajanan W Laud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255484440 PECOS PAC ID: 7012055080 Enrollment ID: I20091111000518 |
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