| Saritha Vankana Mdsc | |
|
1516 Madison St Maywood IL 60153-1824 | |
| (708) 343-6450 | |
| Not Available |
| Full Name | Saritha Vankana Mdsc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1516 Madison St, Maywood, Illinois |
| Authorized Official Name and Position | Saritha Vankana (PRESIDENT) |
| Authorized Official Contact | 6308863209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saritha Vankana Mdsc 6529 Middlecoff Ct Woodridge IL 60517-1487 Ph: (630) 886-3209 | Saritha Vankana Mdsc 1516 Madison St Maywood IL 60153-1824 Ph: (708) 343-6450 |
| NPI Number | 1285951335 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 04/29/2010 |
| Medicare PECOS PAC ID | 3779612221 |
|---|---|
| Medicare Enrollment ID | O20100521000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285951335 | NPI | - | NPPES |
| 036098715 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036098715 (Illinois) | Primary |
| Provider Name | Saritha Vankana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740284504 PECOS PAC ID: 3375672827 Enrollment ID: I20100521000736 |
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