| Jamaica Complete Medical Pllc | |
|
9016 Sutphin Blvd Jamaica NY 11435-3636 | |
| (718) 487-4016 | |
| (718) 487-3957 |
| Full Name | Jamaica Complete Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9016 Sutphin Blvd, Jamaica, New York |
| Authorized Official Name and Position | Deepak Ramanathan (PRESIDENT) |
| Authorized Official Contact | 7184874016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamaica Complete Medical Pllc 9016 Sutphin Blvd Jamaica NY 11435-3636 Ph: (718) 487-4016 | Jamaica Complete Medical Pllc 9016 Sutphin Blvd Jamaica NY 11435-3636 Ph: (718) 487-4016 |
| NPI Number | 1578927471 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Medicare PECOS PAC ID | 6204126899 |
|---|---|
| Medicare Enrollment ID | O20160614002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578927471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 273668 (New York) | Primary |
| Provider Name | Deepak Ramanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306261086 PECOS PAC ID: 0749406759 Enrollment ID: I20140729000770 |
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