| Lotus Health, Llc | |
|
176 Dermis Ave Ste 103 Hardeeville SC 29927-4161 | |
| (843) 353-0380 | |
| (843) 353-3894 |
| Full Name | Lotus Health, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 176 Dermis Ave Ste 103, Hardeeville, South Carolina |
| Authorized Official Name and Position | Kamal Patel (OWNER) |
| Authorized Official Contact | 8433384443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Health, Llc 176 Dermis Ave Ste 103 Hardeeville SC 29927-4161 Ph: (843) 353-0380 | Lotus Health, Llc 176 Dermis Ave Ste 103 Hardeeville SC 29927-4161 Ph: (843) 353-0380 |
| NPI Number | 1144932815 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 12/14/2022 |
| Medicare PECOS PAC ID | 7810367950 |
|---|---|
| Medicare Enrollment ID | O20230105001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144932815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kamal J Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386748408 PECOS PAC ID: 3971504473 Enrollment ID: I20070126000096 |
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