Mega Healthcare Llc | |
22 Old Short Hills Rd Suite 213 Livingston NJ 07039-5604 | |
(973) 544-6688 | |
(973) 629-1919 |
Full Name | Mega Healthcare Llc |
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Speciality | Clinic/Center |
Location | 22 Old Short Hills Rd, Livingston, New Jersey |
Authorized Official Name and Position | Madhavi Pentyala (INTERNAL MEDICINE) |
Authorized Official Contact | 9084896800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mega Healthcare Llc 1 Schanck Dr Edison NJ 08820-2417 Ph: (908) 489-6800 | Mega Healthcare Llc 22 Old Short Hills Rd Suite 213 Livingston NJ 07039-5604 Ph: (973) 544-6688 |
NPI Number | 1548602600 |
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Provider Enumeration Date | 07/18/2013 |
Last Update Date | 10/04/2013 |
Medicare PECOS PAC ID | 1557505203 |
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Medicare Enrollment ID | O20130918000740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548602600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 25MA07939700 (New Jersey) | Primary |
Provider Name | Madhavi Pentyala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265490072 PECOS PAC ID: 4082645866 Enrollment ID: I20050921000295 |
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