| P.g. Medical Associates Pa | |
|
31 Seven Bridges Rd Little Silver NJ 07739-1634 | |
| (732) 741-4668 | |
| (732) 219-1681 |
| Full Name | P.g. Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 31 Seven Bridges Rd, Little Silver, New Jersey |
| Authorized Official Name and Position | Rao S Gourkanti (PRESIDENT) |
| Authorized Official Contact | 7327414668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P.g. Medical Associates Pa 31 Seven Bridges Rd Little Silver NJ 07739-1634 Ph: (732) 741-4668 | P.g. Medical Associates Pa 31 Seven Bridges Rd Little Silver NJ 07739-1634 Ph: (732) 741-4668 |
| NPI Number | 1124154968 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 07/08/2013 |
| Medicare PECOS PAC ID | 2163477506 |
|---|---|
| Medicare Enrollment ID | O20050317000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124154968 | NPI | - | NPPES |
| 0074047 | Medicaid | NJ | |
| 4620305 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA55303 (New Jersey) | Primary |
| Provider Name | Seetaram S Gourkanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881630028 PECOS PAC ID: 9335194778 Enrollment ID: I20050321000085 |
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