| Vidya Valada Internal Medicine P.c | |
|
580 Park Ave Apt 1b New York NY 10065-7342 | |
| (212) 755-0037 | |
| (212) 688-2207 |
| Full Name | Vidya Valada Internal Medicine P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 580 Park Ave Apt 1b, New York, New York |
| Authorized Official Name and Position | Vidya Valada (PRESIDENT) |
| Authorized Official Contact | 3473513315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidya Valada Internal Medicine P.c 35 Sutton Pl # 12d New York NY 10022-2429 Ph: (347) 351-3315 | Vidya Valada Internal Medicine P.c 580 Park Ave Apt 1b New York NY 10065-7342 Ph: (212) 755-0037 |
| NPI Number | 1427095223 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 3971506619 |
|---|---|
| Medicare Enrollment ID | O20060817000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427095223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vidya Valada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336186758 PECOS PAC ID: 0244214740 Enrollment ID: I20040614000976 |
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