| Joseph C Mihindu | |
|
20 Murray Street Glens Falls NY 12801-2018 | |
| (518) 798-3838 | |
| (518) 798-6125 |
| Full Name | Joseph C Mihindu |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Murray Street, Glens Falls, New York |
| Authorized Official Name and Position | Joseph Carlton Mihindu (PRESIDENT) |
| Authorized Official Contact | 5187983838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph C Mihindu 20 Murray St Po Box 2018 Glens Falls NY 12801-4320 Ph: (518) 798-3838 | Joseph C Mihindu 20 Murray Street Glens Falls NY 12801-2018 Ph: (518) 798-3838 |
| NPI Number | 1508924283 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 03/31/2015 |
| Medicare PECOS PAC ID | 7911077912 |
|---|---|
| Medicare Enrollment ID | O20080603000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508924283 | NPI | - | NPPES |
| 00819109 | Medicaid | NY | |
| 11248 | Other | MVP | |
| 10001370 | Other | CDPHP | |
| 000411366001 | Other | BCBS NENY | |
| 106AR1 | Other | EMPIRE HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1550461 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 1550461 (New York) | Primary |
| Provider Name | Joseph C Mihindukulasuryia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083771927 PECOS PAC ID: 7012087018 Enrollment ID: I20080603000300 |
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