Organization
DISHA MEDICAL CARE CENTER LLC
Active
Other names
Isha Medical Care Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEETA YALAMANCHI MD (OWNER)
(732) 423-8292
Entity
Organization
Contact information
Practice address
245 UNION AVE STE 2A, BRIDGEWATER, NJ 08807-3064
(732) 423-8292
(908) 450-7737
Mailing address
7 SANTORA DR, RARITAN, NJ 08869-2313
(732) 423-8292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00366127
RAILROAD
—
Enumeration date
08/29/2017
Last updated
02/27/2020
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