Umamaheswara Rao Vejendla Physician Pc | |
152 Foote Avenue Jamestown NY 14701 | |
(716) 664-5290 | |
Not Available |
Full Name | Umamaheswara Rao Vejendla Physician Pc |
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Speciality | Internal Medicine |
Location | 152 Foote Avenue, Jamestown, New York |
Authorized Official Name and Position | Umamaheswara Vejendla (CEO) |
Authorized Official Contact | 7166645290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Umamaheswara Rao Vejendla Physician Pc 152 Foote Avenue Jamestown NY 14701 Ph: (716) 664-5290 | Umamaheswara Rao Vejendla Physician Pc 152 Foote Avenue Jamestown NY 14701 Ph: (716) 664-5290 |
NPI Number | 1407074057 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 09/01/2016 |
Medicare PECOS PAC ID | 9133180888 |
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Medicare Enrollment ID | O20041026000082 |
Identifier | Type | State | Issuer |
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1407074057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Umamaheswara Rao Vejendla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053429829 PECOS PAC ID: 3476514134 Enrollment ID: I20101129000012 |
Provider Name | Jennifer Kay Wilcox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134438567 PECOS PAC ID: 1355689571 Enrollment ID: I20190214000526 |
The Resource Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 E 2nd St, Jamestown, NY 14701 Phone: 716-661-1448 | |
Mumtaz Rajabali Karimi, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Reda Elsayed Shedeed Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-1124 | |
Michael D Mitchell, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Saquib Ibrahim, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 |