K Medical Associates Pc | |
55-77 Schanck Rd Ste B-13 Freehold NJ 07728-2964 | |
(732) 612-8485 | |
(732) 612-8483 |
Full Name | K Medical Associates Pc |
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Speciality | Internal Medicine |
Location | 55-77 Schanck Rd Ste B-13, Freehold, New Jersey |
Authorized Official Name and Position | Manish P Khetani (OWNER) |
Authorized Official Contact | 7326128485 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
K Medical Associates Pc 55-77 Schanck Rd Ste B-13 Freehold NJ 07728-2964 Ph: (732) 612-8485 | K Medical Associates Pc 55-77 Schanck Rd Ste B-13 Freehold NJ 07728-2964 Ph: (732) 612-8485 |
NPI Number | 1720669088 |
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Provider Enumeration Date | 04/19/2021 |
Last Update Date | 04/19/2021 |
Medicare PECOS PAC ID | 2466861463 |
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Medicare Enrollment ID | O20210504000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720669088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Manish P Khetani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447430244 PECOS PAC ID: 8820268857 Enrollment ID: I20110831000459 |
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