| Dr Glen Kenneth Providence, MD | |
|
197 E Silver St, Suite 2, Sharon, PA 16146-2186 | |
| (724) 342-6604 | |
| (724) 342-1601 |
| Full Name | Dr Glen Kenneth Providence |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 197 E Silver St, Sharon, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952619975 | NPI | - | NPPES |
| 1026452400001 | Medicaid | PA | |
| 0059701 | Medicaid | OH | |
| P010166 | Other | PA | GATEWAY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD443812 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glen Kenneth Providence, MD 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (724) 342-6604 | Dr Glen Kenneth Providence, MD 197 E Silver St, Suite 2, Sharon, PA 16146-2186 Ph: (724) 342-6604 |
George Capella Garrow, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 63 Pitt St, Sharon, PA 16146 Phone: 724-342-6604 Fax: 724-342-1601 | |
Omar Raheem Saleem, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-3911 | |
Ramnath Rau, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 94 W Connelly Blvd, Sharon, PA 16146 Phone: 724-347-5529 Fax: 724-347-5521 | |
Neven Kosic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-1980 Fax: 724-983-1295 | |
Dr. Navdeep Singh Tandon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-3911 | |
Stanislav Byshenko, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 92 W Connelly Blvd, Sharon, PA 16146 Phone: 724-347-5529 | |
Mrs. Ure Mezu-chukwu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 740 E State St, Sharon, PA 16146 Phone: 740-792-4220 |