Park Gastroenterology, Pllc | |
7560 Carpenter Fire Station Rd Ste 303 Cary NC 27519-9637 | |
(919) 650-6461 | |
Not Available |
Full Name | Park Gastroenterology, Pllc |
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Speciality | Internal Medicine |
Location | 7560 Carpenter Fire Station Rd Ste 303, Cary, North Carolina |
Authorized Official Name and Position | Vallisitaram Prasad Kodali (OWNER) |
Authorized Official Contact | 9196506461 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Park Gastroenterology, Pllc 7560 Carpenter Fire Station Rd Ste 303 Cary NC 27519-9637 Ph: (919) 650-6461 | Park Gastroenterology, Pllc 7560 Carpenter Fire Station Rd Ste 303 Cary NC 27519-9637 Ph: (919) 650-6461 |
NPI Number | 1346889292 |
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Provider Enumeration Date | 12/24/2019 |
Last Update Date | 12/24/2019 |
Medicare PECOS PAC ID | 5496183733 |
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Medicare Enrollment ID | O20200319001153 |
Identifier | Type | State | Issuer |
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1346889292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Vallisitaram P Kodali |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609809920 PECOS PAC ID: 7315964178 Enrollment ID: I20051031000926 |
William V. Lorimer, M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Lipford Dr, Cary, NC 27519 Phone: 919-906-2132 | |
Cary Physicians Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Parkway Office Ct Ste 104, Cary, NC 27518 Phone: 919-230-7439 Fax: 919-912-5442 |