| Signature Internal Medicine | |
|
10623 Professional Cir Ste A Reno NV 89521-5833 | |
| (775) 996-4042 | |
| (775) 401-6262 |
| Full Name | Signature Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 10623 Professional Cir Ste A, Reno, Nevada |
| Authorized Official Name and Position | Sukumar Gargya (PRESIDENT) |
| Authorized Official Contact | 7752502390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Internal Medicine 2745 Spinnaker Dr Reno NV 89519-5759 Ph: (775) 250-2390 | Signature Internal Medicine 10623 Professional Cir Ste A Reno NV 89521-5833 Ph: (775) 996-4042 |
| NPI Number | 1952839441 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 0840562799 |
|---|---|
| Medicare Enrollment ID | O20170828001349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952839441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11105 (Nevada) | Primary |
| Provider Name | Sukumar C Gargya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649243130 PECOS PAC ID: 2466417449 Enrollment ID: I20041201000751 |
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