| Primary Care of Delaware,llc | |
|
1001 S Bradford St Ste 9 Dover DE 19904-4153 | |
| (302) 744-9645 | |
| (302) 744-9649 |
| Full Name | Primary Care of Delaware,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 S Bradford St, Dover, Delaware |
| Authorized Official Name and Position | Vineet Puri (MD) |
| Authorized Official Contact | 3027449645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care of Delaware,llc 1001 S Bradford St Ste 9 Dover DE 19904-4153 Ph: (302) 744-9645 | Primary Care of Delaware,llc 1001 S Bradford St Ste 9 Dover DE 19904-4153 Ph: (302) 744-9645 |
| NPI Number | 1851346126 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 11/24/2009 |
| Medicare PECOS PAC ID | 8426072752 |
|---|---|
| Medicare Enrollment ID | O20060125000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851346126 | NPI | - | NPPES |
| 0001179902 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C10005512 (Delaware) | Primary |
| Provider Name | Dennis J Horan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215928650 PECOS PAC ID: 2365466695 Enrollment ID: I20060125000383 |
| Provider Name | Vineet Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548215981 PECOS PAC ID: 4688705387 Enrollment ID: I20100624000328 |
| Provider Name | Rachel K Rider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861155749 PECOS PAC ID: 5991184988 Enrollment ID: I20220622001388 |
| Provider Name | Silvia a Leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063139087 PECOS PAC ID: 9234503293 Enrollment ID: I20230315000908 |
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