| Mathew J Ulahannan Md Pc | |
|
1656 Champlin Ave Utica NY 13502-4830 | |
| (315) 735-6141 | |
| (315) 735-4391 |
| Full Name | Mathew J Ulahannan Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1656 Champlin Ave, Utica, New York |
| Authorized Official Name and Position | Mathew J Ulahannan (PHYSICIAN) |
| Authorized Official Contact | 3157356141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew J Ulahannan Md Pc 1656 Champlin Ave Utica NY 13502-4830 Ph: (315) 735-6141 | Mathew J Ulahannan Md Pc 1656 Champlin Ave Utica NY 13502-4830 Ph: (315) 735-6141 |
| NPI Number | 1366612723 |
|---|---|
| Provider Enumeration Date | 03/01/2008 |
| Last Update Date | 03/01/2008 |
| Medicare PECOS PAC ID | 2567637978 |
|---|---|
| Medicare Enrollment ID | O20111214000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366612723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 170995 1 (New York) | Primary |
| Provider Name | Mathew J Ulahannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093767956 PECOS PAC ID: 2365542552 Enrollment ID: I20070718000061 |
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