Imad S Nsouli, MD | |
800 Irving Ave, Syracuse, NY 13210-2716 | |
(315) 425-2636 | |
(315) 425-2639 |
Full Name | Imad S Nsouli |
---|---|
Gender | Male |
Speciality | Urology |
Location | 800 Irving Ave, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396780243 | NPI | - | NPPES |
02891427 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 148367-1 (New York) | Primary |
Entity Name | Upstate Urology, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003062043 PECOS PAC ID: 1254492952 Enrollment ID: O20081212000084 |
Mailing Address | Practice Location Address |
---|---|
Imad S Nsouli, MD 800 Irving Ave, Syracuse, NY 13210-2716 Ph: (315) 425-2636 | Imad S Nsouli, MD 800 Irving Ave, Syracuse, NY 13210-2716 Ph: (315) 425-2636 |
Dr. Seetharam Bhat Kulthe Ramesh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 550 Harrison St, Ste M, Syracuse, NY 13202 Phone: 315-464-1500 Fax: 315-464-6117 | |
Po N Lam, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1226 E Water St, Syracuse, NY 13210 Phone: 315-478-4185 Fax: 315-478-0840 | |
Michael B Iorga, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 550 Harrison St, Suite M, Syracuse, NY 13202 Phone: 315-464-1500 Fax: 315-464-6117 | |
Dr. Mahmoud Chehab, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5136 | |
Joel S Bass, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1226 E Water St, Syracuse, NY 13210 Phone: 315-478-4185 Fax: 315-478-0840 | |
Giora Katz, MD Urology Medicare: Medicare Enrolled Practice Location: 550 Harrison St., Suite M, Syracuse, NY 13202 Phone: 315-464-1500 Fax: 315-464-6117 | |
Dr. Ruben Pinkhasov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 550 Harrison St, Suite N, Syracuse, NY 13202 Phone: 315-464-1500 Fax: 315-464-6117 |