| Lotus Medical Pllc | |
|
100a Livingston St Brooklyn NY 11201-5141 | |
| (917) 848-5432 | |
| Not Available |
| Full Name | Lotus Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100a Livingston St, Brooklyn, New York |
| Authorized Official Name and Position | Sharmin Alam (OWNER) |
| Authorized Official Contact | 9178485432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Medical Pllc 100a Livingston St Brooklyn NY 11201-5141 Ph: (917) 848-5432 | Lotus Medical Pllc 100a Livingston St Brooklyn NY 11201-5141 Ph: (917) 848-5432 |
| NPI Number | 1467849125 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 06/04/2021 |
| Medicare PECOS PAC ID | 6608188990 |
|---|---|
| Medicare Enrollment ID | O20150629002237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467849125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 264355 (New York) | Primary |
| Provider Name | Lotus Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003059981 PECOS PAC ID: 4880845783 Enrollment ID: I20121126000462 |
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