Geo Smith Derimanov, MD | |
3400 Spruce Street, 8 Penn Tower, Philadelphia, PA 19104 | |
(215) 662-2415 | |
Not Available |
Full Name | Geo Smith Derimanov |
---|---|
Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 3400 Spruce Street, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932135407 | NPI | - | NPPES |
00B962240001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | MD068235L (Pennsylvania) | Primary |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477658599 PECOS PAC ID: 6204730955 Enrollment ID: O20141204000196 |
Mailing Address | Practice Location Address |
---|---|
Geo Smith Derimanov, MD 3400 Spruce St, Division Of Rheumatology, Philadelphia, PA 19104-4206 Ph: (215) 662-2454 | Geo Smith Derimanov, MD 3400 Spruce Street, 8 Penn Tower, Philadelphia, PA 19104 Ph: (215) 662-2415 |
Philippe Olivier Szapary, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949 | |
Dr. Jamie L. Garfield, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867 | |
Maria Esther Escorcia De Leon, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943 | |
Cherag Daruwala, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123 | |
Dr. Robert Burke, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208 | |
Eva Hassan Alsheik, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071 | |
Dr. Jason Thomas Ackrivo, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871 |