| Medstar Clinic Llc | |
|
6817 Southpoint Pkwy Ste 1302 Jacksonville FL 32216-6297 | |
| (904) 902-0091 | |
| (904) 600-5299 |
| Full Name | Medstar Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6817 Southpoint Pkwy Ste 1302, Jacksonville, Florida |
| Authorized Official Name and Position | Viral Acharya (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9049020091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstar Clinic Llc Po Box 550750 Jacksonville FL 32255-0750 Ph: (904) 902-0091 | Medstar Clinic Llc 6817 Southpoint Pkwy Ste 1302 Jacksonville FL 32216-6297 Ph: (904) 902-0091 |
| NPI Number | 1528809373 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 02/24/2025 |
| Medicare PECOS PAC ID | 5597292755 |
|---|---|
| Medicare Enrollment ID | O20241230001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528809373 | NPI | - | NPPES |
| Provider Name | Mohamed Elsayed Ahmed Shaalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235103912 PECOS PAC ID: 8426020371 Enrollment ID: I20050824000145 |
| Provider Name | Viral N Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331176 PECOS PAC ID: 6002975729 Enrollment ID: I20081110000281 |
| Provider Name | Dalia Elramady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174719322 PECOS PAC ID: 9537352711 Enrollment ID: I20101020000559 |
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