Westside Internal Medicine, Llc | |
3070 Reidville Rd Spartanburg SC 29301-5642 | |
(864) 587-3180 | |
(864) 587-3969 |
Full Name | Westside Internal Medicine, Llc |
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Speciality | Internal Medicine |
Location | 3070 Reidville Rd, Spartanburg, South Carolina |
Authorized Official Name and Position | Kavita Patel (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 8645765764 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Westside Internal Medicine, Llc 3070 Reidville Rd P O Box170156 Spartanburg SC 29301-5642 Ph: (864) 576-5764 | Westside Internal Medicine, Llc 3070 Reidville Rd Spartanburg SC 29301-5642 Ph: (864) 587-3180 |
NPI Number | 1134279961 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 08/09/2024 |
Medicare PECOS PAC ID | 9537261920 |
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Medicare Enrollment ID | O20070305000347 |
Identifier | Type | State | Issuer |
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1134279961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Pranay R Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194729715 PECOS PAC ID: 6901908391 Enrollment ID: I20070305000333 |
Provider Name | Shareda Mickelle Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407447352 PECOS PAC ID: 8820405467 Enrollment ID: I20210329000889 |
Provider Name | Jessica Anika Farmer Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255750808 PECOS PAC ID: 8820479801 Enrollment ID: I20220721003584 |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |