Sejal Kadam Md P C | |
50 Stirrup Ln Syosset NY 11791-4429 | |
(631) 271-9151 | |
Not Available |
Full Name | Sejal Kadam Md P C |
---|---|
Speciality | Internal Medicine |
Location | 50 Stirrup Ln, Syosset, New York |
Authorized Official Name and Position | Sejal Kadam (OWNER) |
Authorized Official Contact | 6312719151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sejal Kadam Md P C Po Box 711 Syosset NY 11791-0711 Ph: () - | Sejal Kadam Md P C 50 Stirrup Ln Syosset NY 11791-4429 Ph: (631) 271-9151 |
NPI Number | 1528578747 |
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Provider Enumeration Date | 10/02/2017 |
Last Update Date | 10/02/2017 |
Medicare PECOS PAC ID | 3274891312 |
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Medicare Enrollment ID | O20171220000333 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528578747 | NPI | - | NPPES |
233001-1 | Other | NY | UNIV. STATE OF NEW YORK EDUCATION DEPT. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 233001 (New York) | Primary |
Provider Name | Sejal Kadam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083659304 PECOS PAC ID: 8224075304 Enrollment ID: I20050411000526 |
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