| Ananda Seva Medical Pc | |
|
2300 Catherine St Cortlandt Manor NY 10567-7231 | |
| (914) 245-1866 | |
| Not Available |
| Full Name | Ananda Seva Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Catherine St, Cortlandt Manor, New York |
| Authorized Official Name and Position | Suneetha Pattisapu (OWNER) |
| Authorized Official Contact | 9142451866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ananda Seva Medical Pc Po Box 805 Jefferson Valley NY 10535-0805 Ph: (914) 245-1866 | Ananda Seva Medical Pc 2300 Catherine St Cortlandt Manor NY 10567-7231 Ph: (914) 245-1866 |
| NPI Number | 1114733086 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Medicare PECOS PAC ID | 7214467000 |
|---|---|
| Medicare Enrollment ID | O20250210000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114733086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Suneetha Pattisapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235107160 PECOS PAC ID: 6204730997 Enrollment ID: I20031124000628 |
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