| Paul R Ponnaiya Md A Professional Corporation | |
|
1795 Dr Frank Gaston Blvd Rock Hill SC 29732-1190 | |
| (702) 256-3637 | |
| Not Available |
| Full Name | Paul R Ponnaiya Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1795 Dr Frank Gaston Blvd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Paul R Ponnaiya (PRESIDENT) |
| Authorized Official Contact | 7023889777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul R Ponnaiya Md A Professional Corporation 3022 S Durango Dr Ste 100 Las Vegas NV 89117-4440 Ph: (702) 256-3637 | Paul R Ponnaiya Md A Professional Corporation 1795 Dr Frank Gaston Blvd Rock Hill SC 29732-1190 Ph: (702) 256-3637 |
| NPI Number | 1386079184 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 08/12/2022 |
| Medicare PECOS PAC ID | 5395722136 |
|---|---|
| Medicare Enrollment ID | O20151221002527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386079184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Paul R Ponnaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528059672 PECOS PAC ID: 1052398898 Enrollment ID: I20151221002655 |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 1800, Rock Hill, SC 29732 Phone: 803-909-1850 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Workman St, Rock Hill, SC 29730 Phone: 803-325-7710 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732 Phone: 803-329-5131 | |
Sahaj Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 Herlong Ave S Ste 101, Rock Hill, SC 29732 Phone: 803-281-0304 | |
Catawba Nation Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2893 Sturgis Rd, Rock Hill, SC 29730 Phone: 843-957-9575 | |
Community Medicine Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-325-7744 | |
Carolinas Physicians Network Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Anderson Rd S, Rock Hill, SC 29730 Phone: 803-326-3790 |