| Avenue Medical Associates Pa | |
|
1080 Silver Lake Blvd Dover DE 19904-2410 | |
| (302) 250-0260 | |
| (302) 836-3353 |
| Full Name | Avenue Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1080 Silver Lake Blvd, Dover, Delaware |
| Authorized Official Name and Position | Avani K Virani (PRESIDENT) |
| Authorized Official Contact | 3022500260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Medical Associates Pa 506 Beechwood Ct Bear DE 19701-5307 Ph: (302) 250-0260 | Avenue Medical Associates Pa 1080 Silver Lake Blvd Dover DE 19904-2410 Ph: (302) 250-0260 |
| NPI Number | 1043441181 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 09/04/2012 |
| Medicare PECOS PAC ID | 1254487978 |
|---|---|
| Medicare Enrollment ID | O20090922000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043441181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Avani K Virani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295754323 PECOS PAC ID: 7113912254 Enrollment ID: I20040417000359 |
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