| 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 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 01/20/2015 |
| Medicare PECOS PAC ID | 5799815619 |
|---|---|
| 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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