Srinivas Medical Inc | |
8721 Carriage Green Drive Darien IL 60561-8468 | |
(630) 888-4815 | |
(630) 910-4020 |
Full Name | Srinivas Medical Inc |
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Speciality | Internal Medicine |
Location | 8721 Carriage Green Drive, Darien, Illinois |
Authorized Official Name and Position | Srinivas-prasad Reddy Jolepalem (PHYSICIAN) |
Authorized Official Contact | 6308884815 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Srinivas Medical Inc 8721 Carriage Green Drive Darien IL 60561-8468 Ph: (630) 888-4815 | Srinivas Medical Inc 8721 Carriage Green Drive Darien IL 60561-8468 Ph: (630) 888-4815 |
NPI Number | 1689931420 |
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Provider Enumeration Date | 04/18/2012 |
Last Update Date | 04/29/2013 |
Medicare PECOS PAC ID | 6406099431 |
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Medicare Enrollment ID | O20130823000608 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689931420 | NPI | - | NPPES |
036084786 | Medicaid | IL |
Provider Name | Srinivas Prasad R Jolepalem |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568531564 PECOS PAC ID: 6507967510 Enrollment ID: I20070720000464 |
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