Thaas Medical, Llc | |
242 N Main St New City NY 10956-5302 | |
(845) 901-7487 | |
(845) 357-3574 |
Full Name | Thaas Medical, Llc |
---|---|
Speciality | Internal Medicine |
Location | 242 N Main St, New City, New York |
Authorized Official Name and Position | Kathirgamathas Kurunathapillai (MEDICAL PROVIDER) |
Authorized Official Contact | 8459017487 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thaas Medical, Llc Po Box 425 Mahwah NJ 07430-0425 Ph: () - | Thaas Medical, Llc 242 N Main St New City NY 10956-5302 Ph: (845) 901-7487 |
NPI Number | 1710226238 |
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Provider Enumeration Date | 02/04/2013 |
Last Update Date | 10/14/2013 |
Medicare PECOS PAC ID | 3779802624 |
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Medicare Enrollment ID | O20150428000601 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710226238 | NPI | - | NPPES |
02878673 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 243741 (New York) | Primary |
Provider Name | Kathirgamathas Kurunathapillai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730112012 PECOS PAC ID: 4880666981 Enrollment ID: I20070802000266 |
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