| Ranjit S. Kadam M.D. P.C. | |
|
15 Albergo Ln Syosset NY 11791-3847 | |
| (631) 271-9151 | |
| Not Available |
| Full Name | Ranjit S. Kadam M.D. P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 Albergo Ln, Syosset, New York |
| Authorized Official Name and Position | Ranjit S Kadam (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ranjit S. Kadam M.D. P.C. Po Box 945 Syosset NY 11791-0079 Ph: (631) 271-9151 | Ranjit S. Kadam M.D. P.C. 15 Albergo Ln Syosset NY 11791-3847 Ph: (631) 271-9151 |
| NPI Number | 1780194001 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Medicare PECOS PAC ID | 9537425665 |
|---|---|
| Medicare Enrollment ID | O20171107000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780194001 | NPI | - | NPPES |
| 229860-1 | Other | NY | UNIV STATE OF NEW YORK EDUCATION DEPT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 229860 (New York) | Primary |
| Provider Name | Ranjit S Kadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396763777 PECOS PAC ID: 7911966882 Enrollment ID: I20041006000860 |
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