| First State Infectious Diseases LLC Poic | |
|
200 Banning Street Suite 230 Dover DE 19904-3487 | |
| (302) 678-0200 | |
| (302) 678-2300 |
| Full Name | First State Infectious Diseases LLC Poic |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 200 Banning Street, Dover, Delaware |
| Authorized Official Name and Position | Ramesh Vemulapalli (MD) |
| Authorized Official Contact | 3026780200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First State Infectious Diseases LLC Poic 200 Banning Street Suite 230 Dover DE 19904-3487 Ph: (302) 678-0200 | First State Infectious Diseases LLC Poic 200 Banning Street Suite 230 Dover DE 19904-3487 Ph: (302) 678-0200 |
| NPI Number | 1942815691 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942815691 | NPI | - | NPPES |
| 250444224 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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