Infectious Diseases Associates, Pc | |
380r Merrimack St Suite 2b Methuen MA 01844 | |
(978) 689-2510 | |
(978) 689-3510 |
Full Name | Infectious Diseases Associates, Pc |
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Speciality | Internal Medicine |
Location | 380r Merrimack St, Methuen, Massachusetts |
Authorized Official Name and Position | Venugopal R. Saddi (OWNER) |
Authorized Official Contact | 9786892510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infectious Diseases Associates, Pc 380r Merrimack St Suite 2b Methuen MA 01844 Ph: (978) 689-2510 | Infectious Diseases Associates, Pc 380r Merrimack St Suite 2b Methuen MA 01844 Ph: (978) 689-2510 |
NPI Number | 1497930085 |
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Provider Enumeration Date | 01/02/2008 |
Last Update Date | 06/12/2024 |
Medicare PECOS PAC ID | 0042391625 |
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Medicare Enrollment ID | O20080122000203 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497930085 | NPI | - | NPPES |
9787739 | Medicaid | MA | |
DN6781 | Other | MA | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 223439 (Massachusetts) | Primary |
Provider Name | Venugopal R Saddi |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1194754309 PECOS PAC ID: 9032152749 Enrollment ID: I20050823001005 |
Provider Name | Nicole J. Sleiman |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1831370402 PECOS PAC ID: 6305996687 Enrollment ID: I20220104001597 |
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