Ushapanicker Mdllc | |
2 Maryland Ave Edison NJ 08820-2551 | |
(732) 744-9288 | |
Not Available |
Full Name | Ushapanicker Mdllc |
---|---|
Speciality | Internal Medicine |
Location | 2 Maryland Ave, Edison, New Jersey |
Authorized Official Name and Position | Usha R Panicker (SOLE OWNER) |
Authorized Official Contact | 7327449288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ushapanicker Mdllc 2 Maryland Ave Edison NJ 08820-2551 Ph: (732) 744-9288 | Ushapanicker Mdllc 2 Maryland Ave Edison NJ 08820-2551 Ph: (732) 744-9288 |
NPI Number | 1912989757 |
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Provider Enumeration Date | 11/17/2005 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 8820044902 |
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Medicare Enrollment ID | O20050323000167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912989757 | NPI | - | NPPES |
10202700 | Other | NJ | HORIZON NJ HEALTH |
LP195 | Other | NJ | OXFORD |
1K6836 | Other | NJ | HEALTHNET |
2421743 | Other | NJ | AETNA |
8371202 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Usha Panicker |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1437131786 PECOS PAC ID: 7012933534 Enrollment ID: I20051024000306 |
Provider Name | Vishnu Ravi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346695442 PECOS PAC ID: 6709124720 Enrollment ID: I20210112003276 |
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