Sai Family Practice | |
194 Elm St London OH 43140-1161 | |
(740) 845-5500 | |
(740) 845-5502 |
Full Name | Sai Family Practice |
---|---|
Speciality | Family Medicine |
Location | 194 Elm St, London, Ohio |
Authorized Official Name and Position | Ramalingam Selvarajah (OWNER) |
Authorized Official Contact | 7408455500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sai Family Practice 194 Elm St London OH 43140-1161 Ph: (740) 845-5500 | Sai Family Practice 194 Elm St London OH 43140-1161 Ph: (740) 845-5500 |
NPI Number | 1548321672 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 05/02/2013 |
Medicare PECOS PAC ID | 1456265834 |
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Medicare Enrollment ID | O20031119000117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548321672 | NPI | - | NPPES |
2064420 | Medicaid | OH | |
DG5901 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35074317S (Ohio) | Primary |
Provider Name | Ramalingam Selvarajah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104912773 PECOS PAC ID: 0244144632 Enrollment ID: I20031125000071 |
Provider Name | Morgan Steiskal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013558097 PECOS PAC ID: 3577993997 Enrollment ID: I20200424002261 |
Provider Name | Gregory Lowell Blankenship |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942846365 PECOS PAC ID: 4880062868 Enrollment ID: I20221122003492 |
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