| Shriram Sirsikar Llc | |
|
321 Main St Suite 3g Johnstown PA 15901-1632 | |
| (814) 535-7576 | |
| (814) 536-1369 |
| Full Name | Shriram Sirsikar Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 Main St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Christina Larosse (MANAGER) |
| Authorized Official Contact | 8145357576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shriram Sirsikar Llc 105 Rosewood Rd Ebensburg PA 15931-4352 Ph: (814) 254-6673 | Shriram Sirsikar Llc 321 Main St Suite 3g Johnstown PA 15901-1632 Ph: (814) 535-7576 |
| NPI Number | 1831560036 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/16/2015 |
| Medicare PECOS PAC ID | 0547561573 |
|---|---|
| Medicare Enrollment ID | O20151217000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831560036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
| Provider Name | Shriram Sirsikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245239391 PECOS PAC ID: 1557343027 Enrollment ID: I20040607001236 |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-410-8300 Fax: 814-410-8331 | |
Chi Berkley Hills Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tech Park Dr, Suite 1130, Johnstown, PA 15901 Phone: 814-475-8700 Fax: 814-475-8796 | |
Chi Gvozden Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tech Park Dr, Suite 1120, Johnstown, PA 15901 Phone: 814-475-8700 Fax: 814-475-8798 | |
Richard J Green Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Vine St, Johnstown, PA 15901 Phone: 814-535-5841 Fax: 814-539-3424 | |
Nulton Diagnostic & Treatment Center, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 College Park Plz, Johnstown, PA 15904 Phone: 814-262-0025 Fax: 814-266-8745 | |
Windber Care Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1511 Scalp Ave, Johnstown, PA 15904 Phone: 814-254-4207 Fax: 814-254-4733 | |
Fairfield Ave Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 Fairfield Ave, Johnstown, PA 15906 Phone: 814-535-6167 |