| Sri Medical Center, Inc | |
|
2115 Millburn Ave Maplewood NJ 07040-3724 | |
| (973) 275-0570 | |
| (973) 900-8453 |
| Full Name | Sri Medical Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2115 Millburn Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Shailender Karry Mohanrao (M.D.) |
| Authorized Official Contact | 7328298476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sri Medical Center, Inc Po Box 4577 Metuchen NJ 08840-4577 Ph: (973) 275-0570 | Sri Medical Center, Inc 2115 Millburn Ave Maplewood NJ 07040-3724 Ph: (973) 275-0570 |
| NPI Number | 1124594809 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 9537404439 |
|---|---|
| Medicare Enrollment ID | O20181221000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124594809 | NPI | - | NPPES |
| 0155641 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shailender Karry Mohanrao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093745077 PECOS PAC ID: 7012913759 Enrollment ID: I20080225000310 |
Premier Healthcare Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Midland Blvd, Maplewood, NJ 07040 Phone: 908-230-4081 | |
Essex Digestive Healthcare Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 Millburn Ave, Maplewood, NJ 07040 Phone: 973-642-3155 Fax: 973-642-0047 | |
Marven Wallen & S. Kenneth Jacobson, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1985 Springfield Ave, Maplewood, NJ 07040 Phone: 973-763-5010 Fax: 973-761-6980 | |
Michael Goldfarb,m.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Millburn Ave, Suite C6, Maplewood, NJ 07040 Phone: 973-762-8200 Fax: 973-762-8203 | |
Guy A. Francis, Md,l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2130 Millburn Ave, Suite C-3, Maplewood, NJ 07040 Phone: 973-763-2555 Fax: 973-763-2558 | |
Grover Medical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2168 Millburn Ave, Suite 101, Maplewood, NJ 07040 Phone: 973-763-5765 Fax: 973-763-0505 |