| Patel Family Medicine Llc | |
|
105 Water St Plymouth IN 46563-2148 | |
| (574) 936-3178 | |
| (574) 936-1084 |
| Full Name | Patel Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Water St, Plymouth, Indiana |
| Authorized Official Name and Position | Charlotte Pearish (OFFICE MANAGER) |
| Authorized Official Contact | 5749363178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patel Family Medicine Llc Po Box 18187 Belfast ME 04915-4076 Ph: (574) 936-3178 | Patel Family Medicine Llc 105 Water St Plymouth IN 46563-2148 Ph: (574) 936-3178 |
| NPI Number | 1225348584 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3779762968 |
|---|---|
| Medicare Enrollment ID | O20110120000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225348584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01063921A (Indiana) | Primary |
| Provider Name | Ahmad K El-samad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174559876 PECOS PAC ID: 2466458252 Enrollment ID: I20061208000096 |
| Provider Name | Viraj Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093938979 PECOS PAC ID: 8123110376 Enrollment ID: I20070817000537 |
| Provider Name | Emaad Basith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025108 PECOS PAC ID: 7618269341 Enrollment ID: I20210430002366 |
| Provider Name | Ameen Masoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508429960 PECOS PAC ID: 5496089369 Enrollment ID: I20221004000684 |
| Provider Name | Syed Karim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497853634 PECOS PAC ID: 2567451966 Enrollment ID: I20240607001962 |
| Provider Name | Saad Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043754310 PECOS PAC ID: 8426339656 Enrollment ID: I20240617000529 |
| Provider Name | Waqas Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316300247 PECOS PAC ID: 8426341322 Enrollment ID: I20240620002940 |
| Provider Name | Ayeza Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619235264 PECOS PAC ID: 4385948942 Enrollment ID: I20241014003788 |
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