| Monalis | |
|
119 Talavera Pl Palm Beach Gardens FL 33418-6221 | |
| (561) 427-3436 | |
| (561) 616-6408 |
| Full Name | Monalis |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Talavera Pl, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Lokesh V Vattigunta (PRESIDENT) |
| Authorized Official Contact | 5614273436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monalis 119 Talavera Pl Palm Beach Gardens FL 33418-6221 Ph: (561) 427-3436 | Monalis 119 Talavera Pl Palm Beach Gardens FL 33418-6221 Ph: (561) 427-3436 |
| NPI Number | 1841675899 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 7113222795 |
|---|---|
| Medicare Enrollment ID | O20160218001905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841675899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lokesh V Vattigunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669402459 PECOS PAC ID: 4183619141 Enrollment ID: I20061207000228 |
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