| Umamaheswara Rao Vejendla Physician Pc | |
|
152 Foote Avenue Jamestown NY 14701 | |
| (716) 664-5290 | |
| Not Available |
| Full Name | Umamaheswara Rao Vejendla Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 152 Foote Avenue, Jamestown, New York |
| Authorized Official Name and Position | Umamaheswara Vejendla (CEO) |
| Authorized Official Contact | 7166645290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umamaheswara Rao Vejendla Physician Pc 152 Foote Avenue Jamestown NY 14701 Ph: (716) 664-5290 | Umamaheswara Rao Vejendla Physician Pc 152 Foote Avenue Jamestown NY 14701 Ph: (716) 664-5290 |
| NPI Number | 1407074057 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 09/01/2016 |
| Medicare PECOS PAC ID | 9133180888 |
|---|---|
| Medicare Enrollment ID | O20041026000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407074057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Umamaheswara Rao Vejendla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053429829 PECOS PAC ID: 3476514134 Enrollment ID: I20101129000012 |
| Provider Name | Jennifer Kay Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134438567 PECOS PAC ID: 1355689571 Enrollment ID: I20190214000526 |
The Resource Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541 | |
The Resource Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 E 2nd St, Jamestown, NY 14701 Phone: 716-661-1448 | |
Mumtaz Rajabali Karimi, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Reda Elsayed Shedeed Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-1124 | |
Michael D Mitchell, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Saquib Ibrahim, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 |