| Sujatha Medical Pc | |
|
21414 Hillside Ave Queens Village NY 11427-1808 | |
| (718) 264-2700 | |
| (718) 264-2702 |
| Full Name | Sujatha Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21414 Hillside Ave, Queens Village, New York |
| Authorized Official Name and Position | Sujatha Rajan (MEDICAL DOCTOR) |
| Authorized Official Contact | 7182642700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sujatha Medical Pc 6636 Yellowstone Blvd Apt. 18f Forest Hills NY 11375-2510 Ph: (718) 264-2700 | Sujatha Medical Pc 21414 Hillside Ave Queens Village NY 11427-1808 Ph: (718) 264-2700 |
| NPI Number | 1720129737 |
|---|---|
| Provider Enumeration Date | 02/11/2007 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 6608882279 |
|---|---|
| Medicare Enrollment ID | O20060307000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720129737 | NPI | - | NPPES |
| 07554 | Other | NY | MEDICARE - GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sujatha Rajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578593323 PECOS PAC ID: 8325054901 Enrollment ID: I20060308000034 |
Satbachan Dhanjal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20707 Hillside Ave, Queens Village, NY 11427 Phone: 718-464-9727 Fax: 718-464-9735 | |
Vrs Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21518 91st Ave, Queens Village, NY 11428 Phone: 732-322-2258 Fax: 732-230-3675 | |
Queens Village Primary Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9204 Springfield Blvd, Queens Village, NY 11428 Phone: 718-465-3040 Fax: 718-464-9063 | |
Refreshing Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21429 Jamaica Ave, Queens Village, NY 11428 Phone: 718-465-4540 | |
Peak Medical Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21522 91st Ave, Queens Village, NY 11428 Phone: 718-217-0969 Fax: 718-217-8247 | |
Seven Hills Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9405 222nd St, Apt 5e, Queens Village, NY 11428 Phone: 516-476-9875 Fax: 800-797-0038 | |
Queens Cardiac Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21115 Jamaica Ave, Queens Village, NY 11428 Phone: 718-454-5700 |