| Regional Infectious Diseases And Infusion Center Inc | |
|
505 Jenkins St Lagrange GA 30240-4225 | |
| (706) 739-7789 | |
| (706) 739-7776 |
| Full Name | Regional Infectious Diseases And Infusion Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 Jenkins St, Lagrange, Georgia |
| Authorized Official Name and Position | Bhuvan Doneepudi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2485132425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Infectious Diseases And Infusion Center Inc 505 Jenkins St Lagrange GA 30240-4225 Ph: (706) 739-7789 | Regional Infectious Diseases And Infusion Center Inc 505 Jenkins St Lagrange GA 30240-4225 Ph: (706) 739-7789 |
| NPI Number | 1285220749 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 09/20/2023 |
| Medicare PECOS PAC ID | 2264445006 |
|---|---|
| Medicare Enrollment ID | O20201229003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285220749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ravi Kamepalli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669464681 PECOS PAC ID: 1658404652 Enrollment ID: I20200410001015 |
| Provider Name | Rebecca Ann Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609451962 PECOS PAC ID: 3274923057 Enrollment ID: I20211209002831 |
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