Sai Medical Center Llc | |
3831 16th St N St Petersburg FL 33703-5601 | |
(727) 527-2139 | |
(727) 522-2832 |
Full Name | Sai Medical Center Llc |
---|---|
Speciality | Internal Medicine |
Location | 3831 16th St N, St Petersburg, Florida |
Authorized Official Name and Position | Ramanujachary Iyyunni (PRESIDENT) |
Authorized Official Contact | 7275272139 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sai Medical Center Llc Po Box 24535 Tampa FL 33623-4535 Ph: (727) 823-2188 | Sai Medical Center Llc 3831 16th St N St Petersburg FL 33703-5601 Ph: (727) 527-2139 |
NPI Number | 1467541839 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 03/05/2009 |
Medicare PECOS PAC ID | 4284785338 |
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Medicare Enrollment ID | O20090630000525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467541839 | NPI | - | NPPES |
45551 | Other | FL | BCBS |
CH7631 | Other | FL | RR MCR LOC 2 |
CH7639 | Other | FL | RR MCR LOC 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nadarajah Nirmalan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043311699 PECOS PAC ID: 3173674223 Enrollment ID: I20090717000023 |
Provider Name | Ujwala Iyyunni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902907546 PECOS PAC ID: 4385796671 Enrollment ID: I20090717000085 |
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