| Housecall Physicians, Inc | |
|
31 Home Depot Drive Suite 283 Plymouth MA 02360 | |
| (774) 343-2432 | |
| Not Available |
| Full Name | Housecall Physicians, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 31 Home Depot Drive, Plymouth, Massachusetts |
| Authorized Official Name and Position | Chaitra Channappa (PRESIDENT) |
| Authorized Official Contact | 7743432432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Housecall Physicians, Inc 31 Home Depot Dr Ste 283 Plymouth MA 02360-2669 Ph: (774) 343-2432 | Housecall Physicians, Inc 31 Home Depot Drive Suite 283 Plymouth MA 02360 Ph: (774) 343-2432 |
| NPI Number | 1265996219 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 01/24/2019 |
| Medicare PECOS PAC ID | 9931448636 |
|---|---|
| Medicare Enrollment ID | O20190225000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265996219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chaitra Channappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457508079 PECOS PAC ID: 1658519574 Enrollment ID: I20171115001214 |
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