P.g. Medical Associates Pa | |
31 Seven Bridges Rd Little Silver NJ 07739-1634 | |
(732) 741-4668 | |
(732) 219-1681 |
Full Name | P.g. Medical Associates Pa |
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Speciality | Internal Medicine |
Location | 31 Seven Bridges Rd, Little Silver, New Jersey |
Authorized Official Name and Position | Rao S Gourkanti (PRESIDENT) |
Authorized Official Contact | 7327414668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P.g. Medical Associates Pa 31 Seven Bridges Rd Little Silver NJ 07739-1634 Ph: (732) 741-4668 | P.g. Medical Associates Pa 31 Seven Bridges Rd Little Silver NJ 07739-1634 Ph: (732) 741-4668 |
NPI Number | 1124154968 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 07/08/2013 |
Medicare PECOS PAC ID | 2163477506 |
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Medicare Enrollment ID | O20050317000882 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124154968 | NPI | - | NPPES |
0074047 | Medicaid | NJ | |
4620305 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA55303 (New Jersey) | Primary |
Provider Name | Seetaram S Gourkanti |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881630028 PECOS PAC ID: 9335194778 Enrollment ID: I20050321000085 |
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