| Krishna Dixit Physician Pc | |
|
338 Meadow Avenue Newburgh NY 12550 | |
| (845) 569-8968 | |
| (845) 569-0881 |
| Full Name | Krishna Dixit Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 338 Meadow Avenue, Newburgh, New York |
| Authorized Official Name and Position | Krishna Kant Dixit (MD OWNER) |
| Authorized Official Contact | 8455698968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna Dixit Physician Pc 338 Meadow Avenue Newburgh NY 12550 Ph: (845) 569-8968 | Krishna Dixit Physician Pc 338 Meadow Avenue Newburgh NY 12550 Ph: (845) 569-8968 |
| NPI Number | 1134236227 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 03/31/2008 |
| Medicare PECOS PAC ID | 7719993724 |
|---|---|
| Medicare Enrollment ID | O20060301000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134236227 | NPI | - | NPPES |
| 01506418 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 188787 (New York) | Primary |
| Provider Name | Krishna Dixit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437239068 PECOS PAC ID: 1951340637 Enrollment ID: I20050502001090 |
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