| Mahesh Botejue Md Llc | |
|
502 W 7th St Ste 100 Erie PA 16502-1333 | |
| (858) 255-4162 | |
| Not Available |
| Full Name | Mahesh Botejue Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 502 W 7th St Ste 100, Erie, Pennsylvania |
| Authorized Official Name and Position | Mahesh Botejue (OWNER) |
| Authorized Official Contact | 8582554162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahesh Botejue Md Llc 237 S Fraser St Ste 442 State College PA 16801-4827 Ph: () - | Mahesh Botejue Md Llc 502 W 7th St Ste 100 Erie PA 16502-1333 Ph: (858) 255-4162 |
| NPI Number | 1942002613 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 05/21/2025 |
| Medicare PECOS PAC ID | 6103349915 |
|---|---|
| Medicare Enrollment ID | O20250401003669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942002613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahesh Botejue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407484173 PECOS PAC ID: 7113308123 Enrollment ID: I20230915003595 |
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