| Mp Veera Md Pa | |
|
130 Perpetual Sq Anderson SC 29621-1713 | |
| (864) 224-8689 | |
| (864) 222-1303 |
| Full Name | Mp Veera Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Perpetual Sq, Anderson, South Carolina |
| Authorized Official Name and Position | Nageen A Veerabagu (ADMINISTRATOR) |
| Authorized Official Contact | 8642248689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mp Veera Md Pa Po Box 3639 Anderson SC 29622-3639 Ph: (864) 224-8689 | Mp Veera Md Pa 130 Perpetual Sq Anderson SC 29621-1713 Ph: (864) 224-8689 |
| NPI Number | 1306845904 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 10/08/2021 |
| Medicare PECOS PAC ID | 4284547159 |
|---|---|
| Medicare Enrollment ID | O20031106000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306845904 | NPI | - | NPPES |
| GP3768 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Manjakkollai P Veerabagu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952309049 PECOS PAC ID: 6103739362 Enrollment ID: I20031112000580 |
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