| Shreeji Medical Pa | |
|
2185a Cheney Hwy Titusville FL 32780-0700 | |
| (321) 269-9800 | |
| (321) 269-7082 |
| Full Name | Shreeji Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2185a Cheney Hwy, Titusville, Florida |
| Authorized Official Name and Position | Rasiklal N Delvadia (PRESIDENT) |
| Authorized Official Contact | 3212699800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shreeji Medical Pa 2185a Cheney Hwy Titusville FL 32780-0700 Ph: (321) 269-9800 | Shreeji Medical Pa 2185a Cheney Hwy Titusville FL 32780-0700 Ph: (321) 269-9800 |
| NPI Number | 1912236332 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 12/14/2009 |
| Medicare PECOS PAC ID | 5092796201 |
|---|---|
| Medicare Enrollment ID | O20040525000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912236332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME63933 (Florida) | Primary |
| Provider Name | Rasiklal N Delvadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942254891 PECOS PAC ID: 0648251892 Enrollment ID: I20040526000265 |
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