Dr Imran Qayyum, MD | |
Bryn Mawr Hospital, 130 S. Bryn Mawr Ave., Bryn Mawr, PA 19010-3121 | |
(610) 526-4261 | |
(610) 526-4661 |
Full Name | Dr Imran Qayyum |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | Bryn Mawr Hospital, Bryn Mawr, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790860872 | NPI | - | NPPES |
1163051 | Medicaid | MD | |
8223301 | Medicaid | NJ | |
001805785 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD059580L (Pennsylvania) | Primary |
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
Mailing Address | Practice Location Address |
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Dr Imran Qayyum, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Imran Qayyum, MD Bryn Mawr Hospital, 130 S. Bryn Mawr Ave., Bryn Mawr, PA 19010-3121 Ph: (610) 526-4261 |
Dr. Cheri Korb, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Dr. Thanh G Kirkpatrick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 130 S. Bryn Mawr Ave., Bryn Mawr, PA 19010 Phone: 610-526-3000 Fax: 302-651-5938 | |
Karla Swatski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 864 County Line Rd, Bryn Mawr, PA 19010 Phone: 610-525-0560 Fax: 610-527-8683 | |
Dr. Ryan Michael Mascio, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 663 W Lancaster Ave, Bryn Mawr, PA 19010 Phone: 610-658-0999 | |
Dr. Scott Michael Pugh, MD, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 919 Conestoga Rd, Bldg. 3, Suite 111, Bryn Mawr, PA 19010 Phone: 610-527-4715 | |
Dr. Wenonah Lynne Huston Nelson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 864 County Line Rd, Bryn Mawr, PA 19010 Phone: 610-525-0560 Fax: 610-527-8683 | |
Dr. Sandra Grossman, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 610-526-3000 |