| I V S Nath Md Frcp Pa | |
|
6217 66th St Pinellas Park FL 33781-5025 | |
| (727) 546-1680 | |
| (727) 546-9746 |
| Full Name | I V S Nath Md Frcp Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6217 66th St, Pinellas Park, Florida |
| Authorized Official Name and Position | Iyyuni V S Nath (OWNER) |
| Authorized Official Contact | 7275461680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I V S Nath Md Frcp Pa Po Box 25233 Tampa FL 33622-5233 Ph: (727) 823-2188 | I V S Nath Md Frcp Pa 6217 66th St Pinellas Park FL 33781-5025 Ph: (727) 546-1680 |
| NPI Number | 1508199969 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 12/10/2010 |
| Medicare PECOS PAC ID | 9032306014 |
|---|---|
| Medicare Enrollment ID | O20101203000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508199969 | NPI | - | NPPES |
| 065241500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME47362 (Florida) | Primary |
| Provider Name | Venkata S.s.n. Iyunni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588697080 PECOS PAC ID: 8820285802 Enrollment ID: I20101203000694 |
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