| Pedirite Medical De Llc | |
|
2801 W 6th St Wilmington DE 19805-1828 | |
| (212) 764-0008 | |
| Not Available |
| Full Name | Pedirite Medical De Llc |
|---|---|
| Speciality | General Practice |
| Location | 2801 W 6th St, Wilmington, Delaware |
| Authorized Official Name and Position | Sol Klein (MEMBER) |
| Authorized Official Contact | 2127640008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedirite Medical De Llc 267 Broadway Fl 2 Brooklyn NY 11211-6216 Ph: (212) 764-0008 | Pedirite Medical De Llc 2801 W 6th St Wilmington DE 19805-1828 Ph: (212) 764-0008 |
| NPI Number | 1538800099 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 3779970942 |
|---|---|
| Medicare Enrollment ID | O20220419000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538800099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Fanta V Morgan Kitson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376756080 PECOS PAC ID: 1456403401 Enrollment ID: I20090722000292 |
| Provider Name | Hinal K Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568996544 PECOS PAC ID: 2860881539 Enrollment ID: I20211118001191 |
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