| Damayanthi Pandrangi Md Pc | |
|
1170 Charter Dr Suite E Flint MI 48532-3587 | |
| (810) 733-0500 | |
| (810) 733-5949 |
| Full Name | Damayanthi Pandrangi Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1170 Charter Dr, Flint, Michigan |
| Authorized Official Name and Position | Damayanthi V Pandrangi (OWNER) |
| Authorized Official Contact | 8107330500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Damayanthi Pandrangi Md Pc 5155 Norko Dr Flint MI 48507-3021 Ph: (810) 230-7042 | Damayanthi Pandrangi Md Pc 1170 Charter Dr Suite E Flint MI 48532-3587 Ph: (810) 733-0500 |
| NPI Number | 1225205776 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 08/26/2008 |
| Medicare PECOS PAC ID | 2264506351 |
|---|---|
| Medicare Enrollment ID | O20080807000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225205776 | NPI | - | NPPES |
| 4402239 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301063797 (Michigan) | Primary |
| Provider Name | Damayanthi V Pandrangi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407818594 PECOS PAC ID: 4284708371 Enrollment ID: I20080807000468 |
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