| Guobadia Group Llc | |
|
1450 Allerton Ave Frnt A Bronx NY 10469-5626 | |
| (929) 556-7094 | |
| Not Available |
| Full Name | Guobadia Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1450 Allerton Ave Frnt A, Bronx, New York |
| Authorized Official Name and Position | Osa Christopher Guobadia (CEO) |
| Authorized Official Contact | 9295567094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guobadia Group Llc 1450 Allerton Ave Frnt A Bronx NY 10469-5626 Ph: (929) 556-7094 | Guobadia Group Llc 1450 Allerton Ave Frnt A Bronx NY 10469-5626 Ph: (929) 556-7094 |
| NPI Number | 1205546249 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 8325410822 |
|---|---|
| Medicare Enrollment ID | O20230209002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205546249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Osa C Guobadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306402268 PECOS PAC ID: 9537560602 Enrollment ID: I20230209002229 |
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