| Specialist In Infectious Diseases, Llc | |
|
1404 Gunston Ct Chesapeake VA 23322-8100 | |
| (757) 650-2725 | |
| Not Available |
| Full Name | Specialist In Infectious Diseases, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1404 Gunston Ct, Chesapeake, Virginia |
| Authorized Official Name and Position | Manali Patel (OWNER) |
| Authorized Official Contact | 5025584687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialist In Infectious Diseases, Llc 1404 Gunston Ct Chesapeake VA 23322-8100 Ph: (757) 650-2725 | Specialist In Infectious Diseases, Llc 1404 Gunston Ct Chesapeake VA 23322-8100 Ph: (757) 650-2725 |
| NPI Number | 1871775734 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 9234219296 |
|---|---|
| Medicare Enrollment ID | O20101123000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871775734 | NPI | - | NPPES |
| 200858870A | Medicaid | IN | |
| 64130487 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ursula M Kelly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205099322 PECOS PAC ID: 7517152408 Enrollment ID: I20101117001173 |
| Provider Name | Manali R Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689752644 PECOS PAC ID: 9335245091 Enrollment ID: I20101123000614 |
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