| Specialistvirtucare Pc | |
|
290 Turnpike Rd Ste 150 Westborough MA 01581-2843 | |
| (508) 740-9308 | |
| Not Available |
| Full Name | Specialistvirtucare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 Turnpike Rd Ste 150, Westborough, Massachusetts |
| Authorized Official Name and Position | Javeria Kouser (PRESIDENT) |
| Authorized Official Contact | 5087409308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialistvirtucare Pc 290 Turnpike Rd Suite 150, Box 374 Westborough MA 01581-2843 Ph: (508) 740-9308 | Specialistvirtucare Pc 290 Turnpike Rd Ste 150 Westborough MA 01581-2843 Ph: (508) 740-9308 |
| NPI Number | 1467227686 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 0042663528 |
|---|---|
| Medicare Enrollment ID | O20240131003754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467227686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Annie T Chemmanur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992844484 PECOS PAC ID: 2769586601 Enrollment ID: I20070402000516 |
| Provider Name | Khalid Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538165055 PECOS PAC ID: 3274630926 Enrollment ID: I20070515000312 |
| Provider Name | Javeria Kouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801062104 PECOS PAC ID: 8224225198 Enrollment ID: I20101206000399 |
| Provider Name | Hannah M Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225371230 PECOS PAC ID: 8224260401 Enrollment ID: I20180816000868 |
| Provider Name | Ines Kebir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518585223 PECOS PAC ID: 3476952698 Enrollment ID: I20210520000938 |
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