| Sheela Prahalad M.d. Pc | |
|
319 N State St Clarks Summit PA 18411-1059 | |
| (570) 586-6087 | |
| (570) 586-6072 |
| Full Name | Sheela Prahalad M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 319 N State St, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Sheela Prahalad (PRESIDENT) |
| Authorized Official Contact | 5705866087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheela Prahalad M.d. Pc 319 N State St Clarks Summit PA 18411-1059 Ph: (570) 586-6087 | Sheela Prahalad M.d. Pc 319 N State St Clarks Summit PA 18411-1059 Ph: (570) 586-6087 |
| NPI Number | 1457679102 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Medicare PECOS PAC ID | 4486782141 |
|---|---|
| Medicare Enrollment ID | O20100517000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457679102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD038374E (Pennsylvania) | Primary |
| Provider Name | Sheela Prahalad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487687752 PECOS PAC ID: 2466589254 Enrollment ID: I20100428000041 |
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