Dr Meriam Shawky Makary-botros, MD | |
11234 Anderson St, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 | |
(909) 558-8131 | |
Not Available |
Full Name | Dr Meriam Shawky Makary-botros |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548461023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | A98134 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Meriam Shawky Makary-botros, MD 11234 Anderson St, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 Ph: () - | Dr Meriam Shawky Makary-botros, MD 11234 Anderson St, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 Ph: (909) 558-8131 |
Edward R Verde, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11374 Mountain View Ave, Suite A, Loma Linda, CA 92354 Phone: 909-558-4505 | |
Dr. Frank Randall, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, House Staff Office Cp21005, Loma Linda, CA 92354 Phone: 818-635-7623 | |
Khashayar Dashtipour, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2400, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Shauna Chi-yee Cheung, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Dr. Carmen Protesta Gonzales-nate, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11660 Emerald Dr, Loma Linda, CA 92354 Phone: 909-799-6343 Fax: 909-799-6343 | |
Dr. Firas Bannout, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite B-100, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Theresa L Labarte, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2880 |