| Rockville Medical | |
|
178 Sunrise Hwy Rockville Centre NY 11570-4704 | |
| (516) 536-5765 | |
| (516) 536-5766 |
| Full Name | Rockville Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 178 Sunrise Hwy, Rockville Centre, New York |
| Authorized Official Name and Position | Reza S Naghavi (OWNER) |
| Authorized Official Contact | 5165365765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockville Medical Po Box 256 Rockville Centre NY 11571-0256 Ph: (516) 536-5765 | Rockville Medical 178 Sunrise Hwy Rockville Centre NY 11570-4704 Ph: (516) 536-5765 |
| NPI Number | 1568580520 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 1658461751 |
|---|---|
| Medicare Enrollment ID | O20071213000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568580520 | NPI | - | NPPES |
| 01801418 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207203 (New York) | Primary |
| Provider Name | Sarat Bhumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861578924 PECOS PAC ID: 4385651561 Enrollment ID: I20060313000571 |
| Provider Name | Reza S Naghavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841231545 PECOS PAC ID: 1052311198 Enrollment ID: I20070113000067 |
| Provider Name | Mohammad J Mukhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437258134 PECOS PAC ID: 1153423132 Enrollment ID: I20070221000540 |
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