| Sai Medical Center, Llc | |
|
252 Washington Ave Belleville NJ 07109-3155 | |
| (973) 450-9600 | |
| (973) 450-4054 |
| Full Name | Sai Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 252 Washington Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Srinivasa Eswarapu (PRESIDENT) |
| Authorized Official Contact | 9734509600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sai Medical Center, Llc Po Box 362 Belleville NJ 07109-0362 Ph: (973) 450-9600 | Sai Medical Center, Llc 252 Washington Ave Belleville NJ 07109-3155 Ph: (973) 450-9600 |
| NPI Number | 1609932532 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 03/24/2008 |
| Medicare PECOS PAC ID | 8628158383 |
|---|---|
| Medicare Enrollment ID | O20080108000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609932532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA68009 (New Jersey) | Primary |
| Provider Name | Srinivasa Eswarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346215225 PECOS PAC ID: 2264512920 Enrollment ID: I20080108000010 |
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