Supreme Medical P.C.

LBN: Supreme Medical P.C.
Supreme Medical P.C. is an health care organization with primary practice located at 100 N Belle Mead Rd Suite D, East Setauket NY 11733-3530. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Supreme Medical P.C. can be contacted via phone (631) 751-8905, or through Kota, Anjani Venkata via phone (631) 751-8905.

Contact Information

Primary practice address
100 N Belle Mead Rd Suite D East Setauket NY 11733-3530
Phone: (631) 751-8905
Fax: (631) 751-8908
Website:
Map and Directions
Authorized official contact:
Name: Kota, Anjani Venkata Doctor of Medicine (MD)
Phone: (631) 751-8905

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 222728 New York

Profile Details

NPI number 1902965171
LBN Legal business name Supreme Medical P.C.
DBA Doing business as
Authorized official Kota, Anjani Venkata Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Mar 3rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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