Valeant Medical Group Pllc | |
1795 Dr Frank Gaston Blvd Rock Hill SC 29732-1190 | |
(803) 326-3500 | |
(893) 336-3632 |
Full Name | Valeant Medical Group Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1795 Dr Frank Gaston Blvd, Rock Hill, South Carolina |
Authorized Official Name and Position | Phani Mohan Vupadhyayula (MEMBER) |
Authorized Official Contact | 7048137476 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Valeant Medical Group Pllc 1121 Baltusrol Ln Waxhaw NC 28173-9031 Ph: (704) 813-7476 | Valeant Medical Group Pllc 1795 Dr Frank Gaston Blvd Rock Hill SC 29732-1190 Ph: (803) 326-3500 |
NPI Number | 1942917380 |
---|---|
Provider Enumeration Date | 11/04/2022 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 3274905310 |
---|---|
Medicare Enrollment ID | O20230217001718 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942917380 | NPI | - | NPPES |
Provider Name | Rajesh Rohilla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003074154 PECOS PAC ID: 8325210800 Enrollment ID: I20170217001843 |
Provider Name | Phani Mohan Vupadhyayula |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659523991 PECOS PAC ID: 5193994341 Enrollment ID: I20171127003208 |
Provider Name | Lalita S Mandavilli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649504176 PECOS PAC ID: 5698922276 Enrollment ID: I20221228000142 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |