Gastrohealth Medical P.c. | |
7134 Roosevelt Ave Jackson Heights NY 11372-6137 | |
(347) 738-5700 | |
Not Available |
Full Name | Gastrohealth Medical P.c. |
---|---|
Speciality | Internal Medicine |
Location | 7134 Roosevelt Ave, Jackson Heights, New York |
Authorized Official Name and Position | Raghav Bansal (PRESIDENT) |
Authorized Official Contact | 3477385700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gastrohealth Medical P.c. 63 Cresthollow Ln Albertson NY 11507-1046 Ph: () - | Gastrohealth Medical P.c. 7134 Roosevelt Ave Jackson Heights NY 11372-6137 Ph: (347) 738-5700 |
NPI Number | 1851812440 |
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Provider Enumeration Date | 07/05/2017 |
Last Update Date | 08/16/2024 |
Medicare PECOS PAC ID | 3870867294 |
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Medicare Enrollment ID | O20170925001363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851812440 | NPI | - | NPPES |
04816377 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Raghav Bansal |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144547050 PECOS PAC ID: 2163600636 Enrollment ID: I20110705000231 |
Provider Name | Mitanshu Shah |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215240221 PECOS PAC ID: 7315217064 Enrollment ID: I20170728000083 |
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