| Family Internal Medicine Pa Inc | |
|
4701 Devonshire Rd Ste 106 Harrisburg PA 17109-1746 | |
| (717) 540-1920 | |
| Not Available |
| Full Name | Family Internal Medicine Pa Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4701 Devonshire Rd Ste 106, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Nita Rastogi (MD) |
| Authorized Official Contact | 9144076107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Internal Medicine Pa Inc 4701 Devonshire Rd Ste 106 Harrisburg PA 17109-1746 Ph: () - | Family Internal Medicine Pa Inc 4701 Devonshire Rd Ste 106 Harrisburg PA 17109-1746 Ph: (717) 540-1920 |
| NPI Number | 1104505312 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 11/11/2023 |
| Medicare PECOS PAC ID | 0446605877 |
|---|---|
| Medicare Enrollment ID | O20231004003697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104505312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nita A Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306827092 PECOS PAC ID: 8426158510 Enrollment ID: I20070702000367 |
| Provider Name | Vinod K Nagabhairu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972734986 PECOS PAC ID: 0547402539 Enrollment ID: I20130803000005 |
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