| Dr Preeti PC | |
|
165 Nighthawk Ln Roseburg OR 97471-7844 | |
| (563) 508-2083 | |
| Not Available |
| Full Name | Dr Preeti PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 Nighthawk Ln, Roseburg, Oregon |
| Authorized Official Name and Position | Preeti Satyanarayana (DIRECTOR) |
| Authorized Official Contact | 5635082083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Preeti PC 165 Nighthawk Ln Roseburg OR 97471-7844 Ph: (563) 508-2083 | Dr Preeti PC 165 Nighthawk Ln Roseburg OR 97471-7844 Ph: (563) 508-2083 |
| NPI Number | 1598540593 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 9133578651 |
|---|---|
| Medicare Enrollment ID | O20231209000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598540593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Preeti Satyanarayana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063641744 PECOS PAC ID: 2264674795 Enrollment ID: I20130813000988 |
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