| Medlife Im-pcp | |
|
1403 E Greenville St Ste D Anderson SC 29621-2285 | |
| (864) 745-8767 | |
| (864) 745-8770 |
| Full Name | Medlife Im-pcp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1403 E Greenville St Ste D, Anderson, South Carolina |
| Authorized Official Name and Position | Vipin Verma (MANAGER) |
| Authorized Official Contact | 8647458767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medlife Im-pcp Po Box 2808 Anderson SC 29622-2808 Ph: (864) 745-8767 | Medlife Im-pcp 1403 E Greenville St Ste D Anderson SC 29621-2285 Ph: (864) 745-8767 |
| NPI Number | 1609654714 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 5395192405 |
|---|---|
| Medicare Enrollment ID | O20231111000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609654714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ravi Kant |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720242183 PECOS PAC ID: 2466775838 Enrollment ID: I20141217000228 |
| Provider Name | Rashmi Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043447378 PECOS PAC ID: 8123269511 Enrollment ID: I20150116000177 |
| Provider Name | Vipin Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093156580 PECOS PAC ID: 9931494200 Enrollment ID: I20170822001299 |
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