Rekha Padubidri, Md Inc | |
725 Boardman Canfield Rd Bldg J2 Youngstown OH 44512-4380 | |
(330) 726-0001 | |
(330) 726-1828 |
Full Name | Rekha Padubidri, Md Inc |
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Speciality | Internal Medicine |
Location | 725 Boardman Canfield Rd, Youngstown, Ohio |
Authorized Official Name and Position | Cyndee Fisher (BILLING MANAGER) |
Authorized Official Contact | 3302705454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rekha Padubidri, Md Inc 725 Boardman Canfield Rd Bldg J2 Youngstown OH 44512-4380 Ph: (330) 726-0001 | Rekha Padubidri, Md Inc 725 Boardman Canfield Rd Bldg J2 Youngstown OH 44512-4380 Ph: (330) 726-0001 |
NPI Number | 1952594434 |
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Provider Enumeration Date | 08/20/2007 |
Last Update Date | 03/04/2013 |
Medicare PECOS PAC ID | 1254395205 |
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Medicare Enrollment ID | O20041118000675 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952594434 | NPI | - | NPPES |
000000344723 | Other | OH | ANTHEM BCBS |
2521533 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Ohio) | Primary |
Provider Name | Rekha Padubidri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194706440 PECOS PAC ID: 9436112711 Enrollment ID: I20041108000774 |
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