| Pacific Comprehensive Health Pllc | |
|
1200 N 14th Ave Ste 245 Pasco WA 99301-4078 | |
| (509) 508-1632 | |
| Not Available |
| Full Name | Pacific Comprehensive Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 N 14th Ave Ste 245, Pasco, Washington |
| Authorized Official Name and Position | Srinivas Mascal (PHYSICIAN) |
| Authorized Official Contact | 5095081632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Comprehensive Health Pllc 1200 N 14th Ave Ste 245 Pasco WA 99301-4078 Ph: (509) 508-1632 | Pacific Comprehensive Health Pllc 1200 N 14th Ave Ste 245 Pasco WA 99301-4078 Ph: (509) 508-1632 |
| NPI Number | 1659096964 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 11/08/2022 |
| Medicare PECOS PAC ID | 9931579646 |
|---|---|
| Medicare Enrollment ID | O20221221000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659096964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Srinivas Murthy Mascal Gangadharaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033488077 PECOS PAC ID: 6002060027 Enrollment ID: I20130129000064 |
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