| Vinod K. Thangada, Md, Pc | |
|
5 Frame Ave Suite 204 Malvern PA 19355-1520 | |
| (610) 810-6422 | |
| Not Available |
| Full Name | Vinod K. Thangada, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Frame Ave, Malvern, Pennsylvania |
| Authorized Official Name and Position | Vinod K Thangada (PRESIDENT) |
| Authorized Official Contact | 6108106422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vinod K. Thangada, Md, Pc 5 Frame Ave Suite 204 Malvern PA 19355-1520 Ph: (610) 810-6422 | Vinod K. Thangada, Md, Pc 5 Frame Ave Suite 204 Malvern PA 19355-1520 Ph: (610) 810-6422 |
| NPI Number | 1881000651 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/24/2014 |
| Medicare PECOS PAC ID | 3476774407 |
|---|---|
| Medicare Enrollment ID | O20141016001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881000651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD417508 (Pennsylvania) | Primary |
| Provider Name | Vinod K Thangada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407821101 PECOS PAC ID: 0143412684 Enrollment ID: I20101004000091 |
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