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Primary Practice Address
6005 MONCLOVA RD ST LUKE'S HOSPITAL FAMILY MEDICINE
MAUMEE, OH 43537-1864 US
PECOS Enrolled

Vidya NelacantI

Student


Vidya NelacantI

Overview

Vidya NelacantI is a Student in the MAUMEE area. Vidya NelacantI primary office location is at 6005 MONCLOVA RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1043576366 and the information was updated approximately 4 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
6005 MONCLOVA RD ST LUKE'S HOSPITAL FAMILY MEDICINE
MAUMEE, OH 43537-1864 US
Phone: (419)-383-5522
Fax:
Practice Mailing Information
6005 MONCLOVA RD
MAUMEE, OH 43537-1864 US
Phone: (419)-383-5522
Fax:

No Licenses found


No Identifiers found

Taxonomy StatePrimary?
Student - Taxonomy Code 390200000X --Y

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes

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