Dr Shoba Theivanayagam, MD | |
812 W Oak St, Kissimmee, FL 34741-6625 | |
(407) 201-3686 | |
(407) 201-3739 |
Full Name | Dr Shoba Theivanayagam |
---|---|
Gender | Female |
Speciality | Gastroenterology |
Experience | 21 Years |
Location | 812 W Oak St, Kissimmee, Florida |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730388067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | ME148442 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gastroenterology Institute Of Orlando Llc | 1355619586 | 2 |
Entity Name | Gastroenterology Institute Of Orlando Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225493729 PECOS PAC ID: 1355619586 Enrollment ID: O20170613000297 |
Mailing Address | Practice Location Address |
---|---|
Dr Shoba Theivanayagam, MD Po Box 782009, Orlando, FL 32878-2009 Ph: (407) 201-3686 | Dr Shoba Theivanayagam, MD 812 W Oak St, Kissimmee, FL 34741-6625 Ph: (407) 201-3686 |
Dr. Mohammad T Siddiqui, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1101 N Central Ave, Kissimmee, FL 34741 Phone: 407-851-5600 Fax: 407-438-0507 | |
Dr. Giovanni Hernandez, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1178 Cypress Glen Circle, Kissimmee, FL 34741 Phone: 407-943-8883 Fax: 407-943-8854 | |
Sidi A Elalaoui, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1952 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-343-1284 Fax: 407-343-1286 | |
Basher M Atiquzzaman, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2400 N Orange Blossom Trail, Suite 302, Kissimmee, FL 34744 Phone: 407-932-6193 Fax: 407-932-6194 | |
Dr. Mukesh Kumar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 601 Oak Commons Blvd, Kissimmee, FL 34741 Phone: 407-846-0626 Fax: 407-846-2371 | |
Dr. Adam L Griggs, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1121 N Central Ave, Suite B, Kissimmee, FL 34741 Phone: 407-933-1221 Fax: 407-933-0747 | |
Sajid Chaudhary, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 102 Park Place Blvd., Bldg D, Suite 2 &3, Kissimmee, FL 34741 Phone: 407-279-5069 Fax: 407-378-3076 |