Infectious Diseases Psc | |
2301 Lexington Ave Suite 100 Ashland KY 41101-2873 | |
(606) 325-0011 | |
Not Available |
Full Name | Infectious Diseases Psc |
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Speciality | Internal Medicine - Infectious Disease |
Location | 2301 Lexington Ave, Ashland, Kentucky |
Authorized Official Name and Position | Shailaja Veligandla (OWNER) |
Authorized Official Contact | 6063250011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Infectious Diseases Psc 2301 Lexington Ave Suite 100 Ashland KY 41101-2873 Ph: (606) 325-0011 | Infectious Diseases Psc 2301 Lexington Ave Suite 100 Ashland KY 41101-2873 Ph: (606) 325-0011 |
NPI Number | 1265597033 |
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Provider Enumeration Date | 12/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265597033 | NPI | - | NPPES |
2652053 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 40111 (Kentucky) | Primary |
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George Carl Borst Iii Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 St.christopher Drive, Ashland, KY 41101 Phone: 606-324-1101 Fax: 606-324-0404 | |
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