| Skrk Llc | |
|
6445 Sw 27th St Miami FL 33155 | |
| (904) 347-3434 | |
| Not Available |
| Full Name | Skrk Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6445 Sw 27th St, Miami, Florida |
| Authorized Official Name and Position | Shriram Shridhar Marathe (OWNER) |
| Authorized Official Contact | 9043473434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skrk Llc 6445 Sw 27th St Miami FL 33155-2954 Ph: (904) 347-3434 | Skrk Llc 6445 Sw 27th St Miami FL 33155 Ph: (904) 347-3434 |
| NPI Number | 1851803589 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 09/08/2020 |
| Medicare PECOS PAC ID | 5395000491 |
|---|---|
| Medicare Enrollment ID | O20180519000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851803589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shriram S Marathe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134179922 PECOS PAC ID: 4183535487 Enrollment ID: I20100224000223 |
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