| Swdc Medical Associates Llc | |
|
2301 Countryview Dr Washington IN 47501-4519 | |
| (812) 698-9323 | |
| Not Available |
| Full Name | Swdc Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2301 Countryview Dr, Washington, Indiana |
| Authorized Official Name and Position | Kiran K Burla (OWNER) |
| Authorized Official Contact | 3126228161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swdc Medical Associates Llc 2301 Countryview Dr Washington IN 47501-4519 Ph: (812) 698-9323 | Swdc Medical Associates Llc 2301 Countryview Dr Washington IN 47501-4519 Ph: (812) 698-9323 |
| NPI Number | 1457856510 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 2466716501 |
|---|---|
| Medicare Enrollment ID | O20180426000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457856510 | NPI | - | NPPES |
| 300061277 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | V Chowdry Pinnamaneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043201700 PECOS PAC ID: 1951343797 Enrollment ID: I20050523000879 |
| Provider Name | Kiran K Burla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922206127 PECOS PAC ID: 8123283561 Enrollment ID: I20120710000123 |
| Provider Name | Leanna K Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215544952 PECOS PAC ID: 9931510328 Enrollment ID: I20201116000380 |
| Provider Name | Megan C Nonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027641 PECOS PAC ID: 7911385539 Enrollment ID: I20220609001324 |
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