| Srinivas Madane Llc | |
|
33 Ridgeline Dr Long Valley NJ 07853-3376 | |
| (646) 621-7778 | |
| Not Available |
| Full Name | Srinivas Madane Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33 Ridgeline Dr, Long Valley, New Jersey |
| Authorized Official Name and Position | Srinivas Janardhan Madane (PRESIDENT) |
| Authorized Official Contact | 6466217778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srinivas Madane Llc 33 Ridgeline Dr Long Valley NJ 07853-3376 Ph: (646) 621-7778 | Srinivas Madane Llc 33 Ridgeline Dr Long Valley NJ 07853-3376 Ph: (646) 621-7778 |
| NPI Number | 1275038499 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Medicare PECOS PAC ID | 8325303399 |
|---|---|
| Medicare Enrollment ID | O20180522000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275038499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA07289400 (New Jersey) | Primary |
| Provider Name | Srinivas J Madane |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750305835 PECOS PAC ID: 7315048410 Enrollment ID: I20070719000294 |
| Provider Name | Zwannah D Dukuly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710958392 PECOS PAC ID: 8022090984 Enrollment ID: I20090601000371 |
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