| Mark Seredowych, Md, Pc | |
|
1650 Hospital Dr Suite 200 Santa Fe NM 87505-4769 | |
| (505) 982-4276 | |
| (505) 983-7571 |
| Full Name | Mark Seredowych, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1650 Hospital Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Mark George Seredowych (OWNER) |
| Authorized Official Contact | 5059824276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Seredowych, Md, Pc 1650 Hospital Dr Suite 200 Santa Fe NM 87505-4769 Ph: (505) 982-4276 | Mark Seredowych, Md, Pc 1650 Hospital Dr Suite 200 Santa Fe NM 87505-4769 Ph: (505) 982-4276 |
| NPI Number | 1447568811 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/20/2010 |
| Medicare PECOS PAC ID | 1850586751 |
|---|---|
| Medicare Enrollment ID | O20101117000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447568811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2000-289 (New Mexico) | Primary |
| Provider Name | Mark G Seredowych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275545782 PECOS PAC ID: 7810182086 Enrollment ID: I20101112000999 |
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