| Infinite Specialty Medical Services Ga Llc | |
|
101 Stockyard Rd Statesboro GA 30458-1343 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Infinite Specialty Medical Services Ga Llc |
|---|---|
| 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 |
|---|---|
| Infinite Specialty Medical Services Ga Llc 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (718) 534-0689 | Infinite Specialty Medical Services Ga Llc 101 Stockyard Rd Statesboro GA 30458-1343 Ph: (718) 534-0689 |
| NPI Number | 1710632880 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 7618362757 |
|---|---|
| Medicare Enrollment ID | O20220328000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710632880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rekha Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035466 PECOS PAC ID: 6406748235 Enrollment ID: I20220209000005 |
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