| Krishiroshi, LLC | |
|
1 Page Ave Apt 313 Asheville NC 28801-2386 | |
| (352) 216-7618 | |
| Not Available |
| Full Name | Krishiroshi, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Page Ave Apt 313, Asheville, North Carolina |
| Authorized Official Name and Position | Hiren Rohit Patel (CEO) |
| Authorized Official Contact | 3522167618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishiroshi, LLC Po Box 2779 Asheville NC 28802-2779 Ph: (352) 216-7618 | Krishiroshi, LLC 1 Page Ave Apt 313 Asheville NC 28801-2386 Ph: (352) 216-7618 |
| NPI Number | 1063753804 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 2062659568 |
|---|---|
| Medicare Enrollment ID | O20130430000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063753804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| 314000000X | Skilled Nursing Facility | 2011-01587 (North Carolina) | Secondary |
| Provider Name | Holly P Pilewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225289572 PECOS PAC ID: 8921142928 Enrollment ID: I20100215000193 |
| Provider Name | Hiren R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770741373 PECOS PAC ID: 3971740473 Enrollment ID: I20130430000327 |
| Provider Name | Nickcola Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992112007 PECOS PAC ID: 1456572916 Enrollment ID: I20141027000254 |
| Provider Name | Lauren Elizabeth Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518326131 PECOS PAC ID: 1153610381 Enrollment ID: I20160511001997 |
| Provider Name | Jack Thomas Mcafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659477032 PECOS PAC ID: 7012286560 Enrollment ID: I20190522001805 |
| Provider Name | Anna G Leach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073367751 PECOS PAC ID: 6901248343 Enrollment ID: I20251023004767 |
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