Tru Medical Management | |
774 Broadway Ste 2b Brooklyn NY 11206-5316 | |
(347) 335-0305 | |
(718) 638-2043 |
Full Name | Tru Medical Management |
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Speciality | Internal Medicine |
Location | 774 Broadway Ste 2b, Brooklyn, New York |
Authorized Official Name and Position | Hari K Polavarapu (PRESIDENT) |
Authorized Official Contact | 3473350305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tru Medical Management 333 Rector Pl Apt 504 New York NY 10280-1214 Ph: (917) 454-8474 | Tru Medical Management 774 Broadway Ste 2b Brooklyn NY 11206-5316 Ph: (347) 335-0305 |
NPI Number | 1619944550 |
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Provider Enumeration Date | 02/28/2006 |
Last Update Date | 12/14/2022 |
Medicare PECOS PAC ID | 2961442546 |
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Medicare Enrollment ID | O20090506000054 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619944550 | NPI | - | NPPES |
02142478 | Medicaid | NY | |
03520041 | Medicaid | NY |
Provider Name | Hari K Polavarapu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760551816 PECOS PAC ID: 0941271373 Enrollment ID: I20040802000299 |
Provider Name | Satya S. Polavarapu |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1407815152 PECOS PAC ID: 2567409170 Enrollment ID: I20050414001178 |
Provider Name | Murielle Frederick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629326970 PECOS PAC ID: 2466603204 Enrollment ID: I20121105000006 |
Provider Name | Giovanny Fernando Gil Sares |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477815843 PECOS PAC ID: 4587811963 Enrollment ID: I20190221002131 |
Provider Name | Angelique Miste Saavedra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992304604 PECOS PAC ID: 4789095936 Enrollment ID: I20201119002577 |
Provider Name | Melissa Bhikham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689107583 PECOS PAC ID: 8022353374 Enrollment ID: I20210119000322 |
Provider Name | Paul Chen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003310699 PECOS PAC ID: 2062817836 Enrollment ID: I20210818000509 |
Provider Name | Hyejung Kim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821728932 PECOS PAC ID: 6901275791 Enrollment ID: I20221219001029 |
Provider Name | Megan Cohen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891377990 PECOS PAC ID: 3779973870 Enrollment ID: I20230801003035 |
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