Ranjit S. Kadam M.d. P.c. | |
15 Albergo Ln Syosset NY 11791-3847 | |
(631) 271-9151 | |
Not Available |
Full Name | Ranjit S. Kadam M.d. P.c. |
---|---|
Speciality | Internal Medicine |
Location | 15 Albergo Ln, Syosset, New York |
Authorized Official Name and Position | Ranjit S Kadam (OWNER) |
Authorized Official Contact | 6312719151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ranjit S. Kadam M.d. P.c. Po Box 945 Syosset NY 11791-0079 Ph: (631) 271-9151 | Ranjit S. Kadam M.d. P.c. 15 Albergo Ln Syosset NY 11791-3847 Ph: (631) 271-9151 |
NPI Number | 1780194001 |
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Provider Enumeration Date | 10/02/2017 |
Last Update Date | 10/02/2017 |
Medicare PECOS PAC ID | 9537425665 |
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Medicare Enrollment ID | O20171107000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780194001 | NPI | - | NPPES |
229860-1 | Other | NY | UNIV STATE OF NEW YORK EDUCATION DEPT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 229860 (New York) | Primary |
Provider Name | Ranjit S Kadam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396763777 PECOS PAC ID: 7911966882 Enrollment ID: I20041006000860 |
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