Enaam H Alsoufi, MD | |
100 N Academy Ave, Danville, PA 17822-9800 | |
(570) 271-8611 | |
Not Available |
Full Name | Enaam H Alsoufi |
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Gender | Male |
Speciality | Family Medicine |
Location | 100 N Academy Ave, Danville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083270672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MT217458 (Pennsylvania) | Primary |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Mailing Address | Practice Location Address |
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Enaam H Alsoufi, MD 5324 N Kimball Ave Apt 1w, Chicago, IL 60625-4743 Ph: (570) 560-1025 | Enaam H Alsoufi, MD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-8611 |
Asmita Gautam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Sophia Michailidis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 North Academy Ave., Danville, PA 17822 Phone: 570-271-6439 | |
Oliver Henry Ruiz, Family Medicine Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Rebecca Beichner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 724-223-3100 Fax: 724-223-3353 | |
Kyungsook C Kim, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Woodbine Ln, Danville, PA 17822 Phone: 570-271-6070 Fax: 570-271-5609 | |
Dr. Kendra F. Boell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6439 |