| Jayalakshmi Pampati Md Psc | |
|
1908 N Main St Hazard KY 41701-2505 | |
| (606) 439-2662 | |
| (606) 439-0612 |
| Full Name | Jayalakshmi Pampati Md Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1908 N Main St, Hazard, Kentucky |
| Authorized Official Name and Position | Jayalakshmi Pampati (OWNER) |
| Authorized Official Contact | 6064392662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayalakshmi Pampati Md Psc Po Box 697 Hazard KY 41702-0697 Ph: (606) 439-2662 | Jayalakshmi Pampati Md Psc 1908 N Main St Hazard KY 41701-2505 Ph: (606) 439-2662 |
| NPI Number | 1386849206 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 8224054135 |
|---|---|
| Medicare Enrollment ID | O20051020000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386849206 | NPI | - | NPPES |
| 65936015 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jayalakshmi Pampati |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508819293 PECOS PAC ID: 2062424112 Enrollment ID: I20060608000191 |
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