| Pelham Healthcare Associates Pllc | |
|
49 Atwood Rd Ste 1 Pelham NH 03076-3752 | |
| (603) 635-2802 | |
| (603) 635-3070 |
| Full Name | Pelham Healthcare Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 49 Atwood Rd Ste 1, Pelham, New Hampshire |
| Authorized Official Name and Position | Srilatha Kodali (OWNER) |
| Authorized Official Contact | 6036352802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelham Healthcare Associates Pllc 49 Atwood Rd Ste 1 Pelham NH 03076-3752 Ph: (603) 635-2802 | Pelham Healthcare Associates Pllc 49 Atwood Rd Ste 1 Pelham NH 03076-3752 Ph: (603) 635-2802 |
| NPI Number | 1154477305 |
|---|---|
| Provider Enumeration Date | 01/28/2007 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 3375557267 |
|---|---|
| Medicare Enrollment ID | O20060131000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154477305 | NPI | - | NPPES |
| 3197352 | Medicaid | MA | |
| 30200262 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Srilatha Kodali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154397735 PECOS PAC ID: 4284656976 Enrollment ID: I20051221000966 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487967006 PECOS PAC ID: 1557582368 Enrollment ID: I20141021000026 |
| Provider Name | Michelle Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720531320 PECOS PAC ID: 7012341837 Enrollment ID: I20200102000838 |
| Provider Name | Hatim Vajihi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871053934 PECOS PAC ID: 4183950355 Enrollment ID: I20220804003489 |
Japasa Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Bridge St, Pelham, NH 03076 Phone: 603-580-9445 Fax: 844-252-2008 | |
Immediate Care Of Southern New Hampshire-pelham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Windham Rd, Pelham, NH 03076 Phone: 603-577-2273 Fax: 603-635-5441 |