| Peach Blossom Health LLC | |
|
121 Becks Woods Dr Ste 203 Bear DE 19701-3852 | |
| (302) 618-4075 | |
| Not Available |
| Full Name | Peach Blossom Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 121 Becks Woods Dr Ste 203, Bear, Delaware |
| Authorized Official Name and Position | Rabia Qureshi (OWNER) |
| Authorized Official Contact | 3026184075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Blossom Health LLC 121 Becks Woods Dr Ste 203 Bear DE 19701-3852 | Peach Blossom Health LLC 121 Becks Woods Dr Ste 203 Bear DE 19701-3852 Ph: (302) 618-4075 |
| NPI Number | 1447042866 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 3779086194 |
|---|---|
| Medicare Enrollment ID | O20250911003664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447042866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Rabia M Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013275817 PECOS PAC ID: 9830409002 Enrollment ID: I20151030002108 |
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