Dr Nirmal B Charan, MD | |
500 W Fort St, Boise, ID 83702-4501 | |
(208) 422-1325 | |
(208) 422-1315 |
Full Name | Dr Nirmal B Charan |
---|---|
Gender | Male |
Speciality | Internal Medicine - Critical Care Medicine |
Location | 500 W Fort St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023195708 | NPI | - | NPPES |
808191000 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | M-4835 (Idaho) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | M-4835 (Idaho) | Secondary |
Entity Name | Vibra Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20141105002107 |
Mailing Address | Practice Location Address |
---|---|
Dr Nirmal B Charan, MD 500 W Fort St, Boise, ID 83702-4501 Ph: (208) 422-1325 | Dr Nirmal B Charan, MD 500 W Fort St, Boise, ID 83702-4501 Ph: (208) 422-1325 |
Dr. Jennifer A Hofstra, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242 | |
Dr. James Robert Polk, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104 | |
Dr. Michael Frederic Krug, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St, # 111, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1319 | |
Derrel V Walker, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 | |
Dr. Janat E. O'donnell, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319 | |
Carl L Durning, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597 | |
Dr. Christopher J Goulet, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 |