| Monogram Health Professional Services Of South Dakota, Pllc | |
|
101 S Reid St Ste 307 Sioux Falls SD 57103-7045 | |
| (615) 673-4455 | |
| Not Available |
| Full Name | Monogram Health Professional Services Of South Dakota, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 S Reid St Ste 307, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Shawn L Verner (GENERAL COUNSEL AND SECRETARY) |
| Authorized Official Contact | 6159941889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Services Of South Dakota, Pllc 5410 Maryland Way Ste 400 Brentwood TN 37027-8087 Ph: (615) 465-8684 | Monogram Health Professional Services Of South Dakota, Pllc 101 S Reid St Ste 307 Sioux Falls SD 57103-7045 Ph: (615) 673-4455 |
| NPI Number | 1124738463 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 3971977182 |
|---|---|
| Medicare Enrollment ID | O20230329001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124738463 | NPI | - | NPPES |
| Provider Name | Shaminder Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20230403001782 |
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