Raghuveer Annam M.d.,p.c. | |
461 Corliss Ave Phillipsburg NJ 08865-1501 | |
(908) 859-5872 | |
(908) 859-1747 |
Full Name | Raghuveer Annam M.d.,p.c. |
---|---|
Speciality | Internal Medicine |
Location | 461 Corliss Ave, Phillipsburg, New Jersey |
Authorized Official Name and Position | Raghuveer Annam (PRESIDENT) |
Authorized Official Contact | 9088595872 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Raghuveer Annam M.d.,p.c. 461 Corliss Ave Phillipsburg NJ 08865-1501 Ph: (908) 859-5872 | Raghuveer Annam M.d.,p.c. 461 Corliss Ave Phillipsburg NJ 08865-1501 Ph: (908) 859-5872 |
NPI Number | 1124147822 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 01/20/2015 |
Medicare PECOS PAC ID | 5799815619 |
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Medicare Enrollment ID | O20100618000602 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124147822 | NPI | - | NPPES |
0471500 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA05360800 (New Jersey) | Primary |
Provider Name | Raghuveer Annam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386735850 PECOS PAC ID: 6800820218 Enrollment ID: I20050926000183 |
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