Vitalcare Health, Inc | |
1130 Senoia Rd Ste B4 Tyrone GA 30290-1641 | |
(470) 851-3800 | |
Not Available |
Full Name | Vitalcare Health, Inc |
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Speciality | Clinic/Center |
Location | 1130 Senoia Rd Ste B4, Tyrone, Georgia |
Authorized Official Name and Position | Hardik Parekh (MD) |
Authorized Official Contact | 4237678613 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vitalcare Health, Inc 208 Independence Ln Peachtree City GA 30269-1091 Ph: (470) 851-3800 | Vitalcare Health, Inc 1130 Senoia Rd Ste B4 Tyrone GA 30290-1641 Ph: (470) 851-3800 |
NPI Number | 1902593536 |
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Provider Enumeration Date | 04/24/2023 |
Last Update Date | 12/13/2023 |
Medicare PECOS PAC ID | 1759749997 |
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Medicare Enrollment ID | O20230621001810 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902593536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Hardik Parekh |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1295998755 PECOS PAC ID: 8820269285 Enrollment ID: I20150413002056 |
Provider Name | Karim M Lalani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366023954 PECOS PAC ID: 1456733914 Enrollment ID: I20220729002265 |
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