| Sai Thanmye Associates, Llc | |
|
469 N Harbor City Blvd Melbourne FL 32935-6857 | |
| (321) 254-2321 | |
| Not Available |
| Full Name | Sai Thanmye Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 469 N Harbor City Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Adinarayana Lagudu (OWNER) |
| Authorized Official Contact | 3214322995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sai Thanmye Associates, Llc 469 N Harbor City Blvd Melbourne FL 32935-6857 Ph: (321) 254-2321 | Sai Thanmye Associates, Llc 469 N Harbor City Blvd Melbourne FL 32935-6857 Ph: (321) 254-2321 |
| NPI Number | 1396002044 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 0547426488 |
|---|---|
| Medicare Enrollment ID | O20120723000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396002044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME96930 (Florida) | Primary |
| Provider Name | Adinarayana M Lagudu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720153208 PECOS PAC ID: 9739180217 Enrollment ID: I20100510000487 |
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