| Amky Mso-1 Pllc | |
|
1325 W Whittaker St Ste D Salem IL 62881-2034 | |
| (678) 982-3590 | |
| Not Available |
| Full Name | Amky Mso-1 Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1325 W Whittaker St Ste D, Salem, Illinois |
| Authorized Official Name and Position | Yugandhar Kandimalla (PRESIDENT) |
| Authorized Official Contact | 6789823590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amky Mso-1 Pllc 1325 W Whittaker St Ste D Salem IL 62881-2034 Ph: () - | Amky Mso-1 Pllc 1325 W Whittaker St Ste D Salem IL 62881-2034 Ph: (678) 982-3590 |
| NPI Number | 1821817503 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 0446777114 |
|---|---|
| Medicare Enrollment ID | O20250506002244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821817503 | NPI | - | NPPES |
| Provider Name | Ashish Moonat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063670362 PECOS PAC ID: 6901051168 Enrollment ID: I20130220000096 |
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