| Gi Medical Specialists, Pllc | |
|
2626 Care Dr Ste 101 Tallahassee FL 32308-4495 | |
| (850) 733-6560 | |
| (850) 733-6563 |
| Full Name | Gi Medical Specialists, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2626 Care Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Kishor Muniyappa (OWNER) |
| Authorized Official Contact | 8046473751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Medical Specialists, Pllc 2626 Care Dr Ste 101 Tallahassee FL 32308-4489 Ph: () - | Gi Medical Specialists, Pllc 2626 Care Dr Ste 101 Tallahassee FL 32308-4495 Ph: (850) 733-6560 |
| NPI Number | 1336504125 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 06/10/2016 |
| Medicare PECOS PAC ID | 4385942820 |
|---|---|
| Medicare Enrollment ID | O20160415001482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336504125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME120003 (Florida) | Primary |
| Provider Name | Kishor Muniyappa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467470583 PECOS PAC ID: 0244257517 Enrollment ID: I20141007000069 |
| Provider Name | Jodie Lynne Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962867028 PECOS PAC ID: 0648576942 Enrollment ID: I20200401003430 |
| Provider Name | Shada N Salvas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083325815 PECOS PAC ID: 6507224771 Enrollment ID: I20230620002576 |
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