Grace C Tenorio, MD | |
1501 Kings Hwy, Department Of Pathology, Shreveport, LA 71103-4228 | |
(318) 675-7737 | |
(318) 675-5666 |
Full Name | Grace C Tenorio |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1501 Kings Hwy, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114951134 | NPI | - | NPPES |
0127337 | Medicaid | NJ | |
1475165 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 199951 (Louisiana) | Primary |
Entity Name | Rutgers Health-rwj Pathology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538173539 PECOS PAC ID: 8921090663 Enrollment ID: O20040401000743 |
Entity Name | Rutgers Health-rwj Pediatric Critical Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070 |
Mailing Address | Practice Location Address |
---|---|
Grace C Tenorio, MD 66 West Gilbert St, Red Bank, NJ 07701 Ph: (732) 212-0051 | Grace C Tenorio, MD 1501 Kings Hwy, Department Of Pathology, Shreveport, LA 71103-4228 Ph: (318) 675-7737 |
Kshitij Satnamdas Arora, Pathology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Fleurette Wilheimina Abreo, MBBS Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-621-8820 Fax: 318-212-4189 | |
Dr. Fredric Thomas Siskron, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000 | |
Sara Samadzadeh, M.D Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 310-938-4285 | |
Dr. George K. Harrison, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000 | |
Warren Donovan Grafton, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Pathology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Dr. Maria-magdalena Georgescu, M.D., PH.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-4929 |