Siri Comprehensive Health And Quick Care | |
2508 N Main St Ste G Anderson SC 29621-3266 | |
(864) 540-8432 | |
Not Available |
Full Name | Siri Comprehensive Health And Quick Care |
---|---|
Speciality | Internal Medicine |
Location | 2508 N Main St Ste G, Anderson, South Carolina |
Authorized Official Name and Position | Pramod Reddy Ganta (OWNER) |
Authorized Official Contact | 8645408432 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Siri Comprehensive Health And Quick Care 2508 N Main St Ste G Anderson SC 29621-3266 Ph: (864) 540-8432 | Siri Comprehensive Health And Quick Care 2508 N Main St Ste G Anderson SC 29621-3266 Ph: (864) 540-8432 |
NPI Number | 1447883988 |
---|---|
Provider Enumeration Date | 02/12/2020 |
Last Update Date | 02/12/2020 |
Medicare PECOS PAC ID | 7214358407 |
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Medicare Enrollment ID | O20200526000685 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447883988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Pramod R Ganta |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1841236395 PECOS PAC ID: 9133181027 Enrollment ID: I20121008000669 |
Provider Name | Lori E Rash |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194049791 PECOS PAC ID: 8224315858 Enrollment ID: I20170508001414 |
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