Greentree Primary Care Pllc | |
207 E Lewis And Clark Pkwy #c Clarksville IN 47129-1711 | |
(812) 981-7900 | |
(812) 981-7042 |
Full Name | Greentree Primary Care Pllc |
---|---|
Speciality | Internal Medicine |
Location | 207 E Lewis And Clark Pkwy, Clarksville, Indiana |
Authorized Official Name and Position | Neena C Joshi (OFFICE MANAGER) |
Authorized Official Contact | 8129817900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Greentree Primary Care Pllc 207 E Lewis And Clark Pkwy #c Clarksville IN 47129-1711 Ph: (812) 981-7900 | Greentree Primary Care Pllc 207 E Lewis And Clark Pkwy #c Clarksville IN 47129-1711 Ph: (812) 981-7900 |
NPI Number | 1558402834 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 07/30/2013 |
Medicare PECOS PAC ID | 2264403831 |
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Medicare Enrollment ID | O20040805000766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558402834 | NPI | - | NPPES |
200912100 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Indiana) | Primary |
Provider Name | Cyrus K Joshi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083612287 PECOS PAC ID: 2062483639 Enrollment ID: I20040810000626 |
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