Vik Poonai M D Pc | |
924 Seton Dr Cumberland MD 21502-1851 | |
(301) 777-5458 | |
(301) 777-5459 |
Full Name | Vik Poonai M D Pc |
---|---|
Speciality | Internal Medicine |
Location | 924 Seton Dr, Cumberland, Maryland |
Authorized Official Name and Position | Vikramadi K Poonai (OWNER) |
Authorized Official Contact | 3017775458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vik Poonai M D Pc 924 Seton Dr Cumberland MD 21502-1851 Ph: (301) 777-5458 | Vik Poonai M D Pc 924 Seton Dr Cumberland MD 21502-1851 Ph: (301) 777-5458 |
NPI Number | 1013166404 |
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Provider Enumeration Date | 09/10/2008 |
Last Update Date | 09/10/2008 |
Medicare PECOS PAC ID | 6901968981 |
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Medicare Enrollment ID | O20081230000053 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013166404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D36766 (Maryland) | Primary |
Provider Name | Vikramaditya Poonai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851477152 PECOS PAC ID: 5395807374 Enrollment ID: I20081230000029 |
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