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NPI Code Detail

MEDICARE: APOLLO MEDICAL MANAGEMENT

MEDICARE: APOLLO MEDICAL MANAGEMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing Site

General Provider Information

NPI Number : 1528354198
Entity Type Code : Organization
Provider Name (Legal Business Name) : APOLLO MEDICAL MANAGEMENT
Provider Business Mailing Address
First Line : 65418 BARKCAMP PARK RD
Second Line :
City : BELMONT
State : OH
Zip : 43718-9733
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1511 FOREST HILL BLVD
Second Line : #3
City : WEST PALM BEACH
State : FL
Zip : 33406-6077
Country : US
Telephone Number : 561-433-3556
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : KASIRAJA SATHAPPAN
Credential : MD
Telephone Number : 888-599-6337
Provider Enumeration Date : 06/22/2011
Last Update Date : 06/22/2011

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Directions to “APOLLO MEDICAL MANAGEMENT ” Practice Location

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