| Mekala Ramgopal PC | |
|
2124 Camp Rd Far Rockaway NY 11691-2721 | |
| (516) 431-2656 | |
| (516) 432-8484 |
| Full Name | Mekala Ramgopal PC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2124 Camp Rd, Far Rockaway, New York |
| Authorized Official Name and Position | Mekala Ramgopal (PRESIDENT) |
| Authorized Official Contact | 5164312656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mekala Ramgopal PC 82 Regent Dr Lido Beach NY 11561-4923 Ph: (516) 431-2656 | Mekala Ramgopal PC 2124 Camp Rd Far Rockaway NY 11691-2721 Ph: (516) 431-2656 |
| NPI Number | 1730307000 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730307000 | NPI | - | NPPES |
| 00394069 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 138691 (New York) | Primary |
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