| G.m. Majmundar Psc | |
|
11217 Main Street Martin KY 41649 | |
| (606) 285-9000 | |
| (606) 285-9484 |
| Full Name | G.m. Majmundar Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 11217 Main Street, Martin, Kentucky |
| Authorized Official Name and Position | Gopal Majmundar (MEDICAL DR) |
| Authorized Official Contact | 6062859000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G.m. Majmundar Psc Po Box 828 Martin KY 41649-0828 Ph: (606) 285-9000 | G.m. Majmundar Psc 11217 Main Street Martin KY 41649 Ph: (606) 285-9000 |
| NPI Number | 1689187874 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Medicare PECOS PAC ID | 8729344486 |
|---|---|
| Medicare Enrollment ID | O20171113002325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689187874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AM7953537 (Kentucky) | Primary |
| Provider Name | Gopal R Majmundar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467458034 PECOS PAC ID: 2163416744 Enrollment ID: I20040414001539 |
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