| Uppal Medical Center Llc | |
|
1727 E Union St Greenville MS 38703-3253 | |
| (662) 577-6673 | |
| Not Available |
| Full Name | Uppal Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1727 E Union St, Greenville, Mississippi |
| Authorized Official Name and Position | Christopher J Watkins (CEO) |
| Authorized Official Contact | 6016654162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uppal Medical Center Llc 215 Katherine Dr Ste A Flowood MS 39232-9588 Ph: (601) 665-4162 | Uppal Medical Center Llc 1727 E Union St Greenville MS 38703-3253 Ph: (662) 577-6673 |
| NPI Number | 1558927905 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 12/28/2023 |
| Medicare PECOS PAC ID | 4587998547 |
|---|---|
| Medicare Enrollment ID | O20190625001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558927905 | NPI | - | NPPES |
| 003088388 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Arvinder S Uppal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760498620 PECOS PAC ID: 6204981459 Enrollment ID: I20140127001035 |
| Provider Name | Gyton B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528564143 PECOS PAC ID: 9234473430 Enrollment ID: I20181128002908 |
| Provider Name | Allison A Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356985121 PECOS PAC ID: 5496180911 Enrollment ID: I20200110000907 |
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