Dr Ebrahim Barkoudah, MD | |
759 Chestnut St Ste C3350, Springfield, MA 01107-1619 | |
(413) 794-6297 | |
(413) 794-1767 |
Full Name | Dr Ebrahim Barkoudah |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 23 Years |
Location | 759 Chestnut St Ste C3350, Springfield, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578783627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 234447 (Massachusetts) | Secondary |
208M00000X | Hospitalist | 234447 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | 234447 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baystate Medical Center | Springfield, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baystate Medical Practices Inc | 5991602971 | 1008 |
Entity Name | Baystate Medical Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Entity Name | Brigham & Womens Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
---|---|
Dr Ebrahim Barkoudah, MD 280 Chestnut St Fl 2, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Dr Ebrahim Barkoudah, MD 759 Chestnut St Ste C3350, Springfield, MA 01107-1619 Ph: (413) 794-6297 |
Grace Makari-judson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Main Street, Springfield, MA 01107 Phone: 413-794-9338 Fax: 413-794-9754 | |
Peter Whittredge, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107 Phone: 413-781-5735 Fax: 413-732-0225 | |
Dr. Marc A Goldman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Carew St Ste 200, Springfield, MA 01104 Phone: 413-732-4269 Fax: 413-785-4619 | |
Twara K Tarasaria, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 | |
Dr. Sai R. Vadhula, MD, PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 759 Chestnut St Ste C3350, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 | |
Dr. Joan Wanda Lisak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 780 Chestnut St, Suite 20, Springfield, MA 01107 Phone: 413-781-2200 Fax: 413-781-2202 | |
Dr. Eva Karacsonyi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2150 Main Street, Springfield, MA 01104 Phone: 413-739-5676 Fax: 413-739-2278 |