| Radiant Minds Llc | |
|
21 George St Ste 203 Lowell MA 01852-2228 | |
| (978) 216-0381 | |
| Not Available |
| Full Name | Radiant Minds Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 George St Ste 203, Lowell, Massachusetts |
| Authorized Official Name and Position | Abdulghani Alrasheed (MANAGER) |
| Authorized Official Contact | 6177179176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Minds Llc 21 George St Ste 203 Lowell MA 01852-2228 Ph: (978) 216-0381 | Radiant Minds Llc 21 George St Ste 203 Lowell MA 01852-2228 Ph: (978) 216-0381 |
| NPI Number | 1114750015 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 5395276232 |
|---|---|
| Medicare Enrollment ID | O20241003000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114750015 | NPI | - | NPPES |
| Provider Name | Ashok K Joshi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679568331 PECOS PAC ID: 7911948351 Enrollment ID: I20050616000112 |
| Provider Name | Julie Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174518872 PECOS PAC ID: 0446295307 Enrollment ID: I20050622000543 |
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