| Youngstown Internal Medicine, L.l.c. | |
|
550 Parmalee Ave Suite 100 Youngstown OH 44510-1602 | |
| (333) 074-3627 | |
| (330) 743-6596 |
| Full Name | Youngstown Internal Medicine, L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 Parmalee Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Mary Alyce Schnarrs (OFFICE MANAGER) |
| Authorized Official Contact | 3307436270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Youngstown Internal Medicine, L.l.c. 550 Parmalee Ave Suite 100 Youngstown OH 44510-1602 Ph: (333) 074-3627 | Youngstown Internal Medicine, L.l.c. 550 Parmalee Ave Suite 100 Youngstown OH 44510-1602 Ph: (333) 074-3627 |
| NPI Number | 1194725259 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072509611 |
|---|---|
| Medicare Enrollment ID | O20040421000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194725259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-05-7163-R (Ohio) | Primary |
| Provider Name | Sudhir Kumar Nallapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477553535 PECOS PAC ID: 1658367016 Enrollment ID: I20040423001247 |
| Provider Name | Lindsey Thome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689150229 PECOS PAC ID: 7911256060 Enrollment ID: I20180822001847 |
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