| Valley Infectious Disease Pc | |
|
1015 S Washington Ave Saginaw MI 48601-2556 | |
| (989) 754-3000 | |
| Not Available |
| Full Name | Valley Infectious Disease Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 S Washington Ave, Saginaw, Michigan |
| Authorized Official Name and Position | Suhasini Gudipati (OWNER) |
| Authorized Official Contact | 9897900007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Infectious Disease Pc 4449 Fashion Square Blvd Saginaw MI 48603-5217 Ph: (989) 790-0007 | Valley Infectious Disease Pc 1015 S Washington Ave Saginaw MI 48601-2556 Ph: (989) 754-3000 |
| NPI Number | 1184950701 |
|---|---|
| Provider Enumeration Date | 11/02/2009 |
| Last Update Date | 11/02/2009 |
| Medicare PECOS PAC ID | 2668516543 |
|---|---|
| Medicare Enrollment ID | O20100216000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184950701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 4301058835 (Michigan) | Primary |
| Provider Name | Suhasini Gudipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407951569 PECOS PAC ID: 2769526649 Enrollment ID: I20100216000223 |
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