Infinite Medical Ga Llc | |
101 Stockyard Rd Statesboro GA 30458-1343 | |
(718) 534-0689 | |
Not Available |
Full Name | Infinite Medical Ga Llc |
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Speciality | Family Medicine |
Location | 101 Stockyard Rd, Statesboro, Georgia |
Authorized Official Name and Position | Rekha Bhandari (OWNER) |
Authorized Official Contact | 7185340689 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infinite Medical Ga Llc 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (718) 534-0689 | Infinite Medical Ga Llc 101 Stockyard Rd Statesboro GA 30458-1343 Ph: (718) 534-0689 |
NPI Number | 1730834805 |
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Provider Enumeration Date | 02/17/2022 |
Last Update Date | 02/17/2022 |
Medicare PECOS PAC ID | 2365837556 |
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Medicare Enrollment ID | O20220325001288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730834805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rekha Bhandari |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023035466 PECOS PAC ID: 6406748235 Enrollment ID: I20220209000005 |
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