| Om Medical Care Llc | |
|
11 Mack Dr Hillsborough NJ 08844-2331 | |
| (732) 821-5360 | |
| Not Available |
| Full Name | Om Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Mack Dr, Hillsborough, New Jersey |
| Authorized Official Name and Position | Bhavi A Patel (OWNER) |
| Authorized Official Contact | 7335435793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Medical Care Llc Po Box 6078 Somerset NJ 08875-6078 Ph: (732) 821-5360 | Om Medical Care Llc 11 Mack Dr Hillsborough NJ 08844-2331 Ph: (732) 821-5360 |
| NPI Number | 1558542704 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/09/2016 |
| Medicare PECOS PAC ID | 5799874533 |
|---|---|
| Medicare Enrollment ID | O20071203000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558542704 | NPI | - | NPPES |
| 0079391 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| Provider Name | Bhavi A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306850409 PECOS PAC ID: 5395784730 Enrollment ID: I20050426000861 |
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