| Gillette Internal Medicine Associates Pc | |
|
407 S Medical Arts Ct Suite D Gillette WY 82716-3372 | |
| (307) 682-0400 | |
| (307) 686-7420 |
| Full Name | Gillette Internal Medicine Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 407 S Medical Arts Ct, Gillette, Wyoming |
| Authorized Official Name and Position | Kirtikumar L Patel (PRESIDENT) |
| Authorized Official Contact | 3076820400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillette Internal Medicine Associates Pc 407 S Medical Arts Ct Suite D Gillette WY 82716-3372 Ph: (307) 682-0400 | Gillette Internal Medicine Associates Pc 407 S Medical Arts Ct Suite D Gillette WY 82716-3372 Ph: (307) 682-0400 |
| NPI Number | 1497841548 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2466435680 |
|---|---|
| Medicare Enrollment ID | O20040609001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497841548 | NPI | - | NPPES |
| 113341100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kirtikumar L Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598755530 PECOS PAC ID: 3274585450 Enrollment ID: I20050216000159 |
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