| Sunrise Medical Clinic Professional Association | |
|
5017 S Mccoll Rd Edinburg TX 78539-8080 | |
| (956) 627-2414 | |
| (956) 627-2076 |
| Full Name | Sunrise Medical Clinic Professional Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 5017 S Mccoll Rd, Edinburg, Texas |
| Authorized Official Name and Position | Rajeev Kumar Mathavan (CHAIRMAN) |
| Authorized Official Contact | 9563102439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Clinic Professional Association Po Box 2764 Mcallen TX 78502-2764 Ph: () - | Sunrise Medical Clinic Professional Association 5017 S Mccoll Rd Edinburg TX 78539-8080 Ph: (956) 627-2414 |
| NPI Number | 1891029963 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 12/11/2018 |
| Medicare PECOS PAC ID | 2365582152 |
|---|---|
| Medicare Enrollment ID | O20091230000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891029963 | NPI | - | NPPES |
| 0043TJ | Other | TX | BCBS |
| 208720701 | Medicaid | TX | |
| DR3128 | Other | TX | RAILROAD MEDICARE |
| Provider Name | Jyoti Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790963809 PECOS PAC ID: 8527129899 Enrollment ID: I20081204000597 |
| Provider Name | Rajeev K Mathavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790705200 PECOS PAC ID: 6709815434 Enrollment ID: I20090112000386 |
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