G.m. Majmundar Psc | |
11217 Main Street Martin KY 41649 | |
(606) 285-9000 | |
(606) 285-9484 |
Full Name | G.m. Majmundar Psc |
---|---|
Speciality | Family Medicine |
Location | 11217 Main Street, Martin, Kentucky |
Authorized Official Name and Position | Gopal Majmundar (MEDICAL DR) |
Authorized Official Contact | 6062859000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
G.m. Majmundar Psc Po Box 828 Martin KY 41649-0828 Ph: (606) 285-9000 | G.m. Majmundar Psc 11217 Main Street Martin KY 41649 Ph: (606) 285-9000 |
NPI Number | 1689187874 |
---|---|
Provider Enumeration Date | 11/09/2017 |
Last Update Date | 11/09/2017 |
Medicare PECOS PAC ID | 8729344486 |
---|---|
Medicare Enrollment ID | O20171113002325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689187874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AM7953537 (Kentucky) | Primary |
Provider Name | Gopal R Majmundar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1467458034 PECOS PAC ID: 2163416744 Enrollment ID: I20040414001539 |
Mountain Comprehensive Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11206 Main St, Martin, KY 41649 Phone: 606-285-3142 | |