Kimberley A Ghuman, MD | |
650 Del Prado Blvd S Ste 107, Cape Coral, FL 33990 | |
(239) 343-9888 | |
(239) 424-4091 |
Full Name | Kimberley A Ghuman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 650 Del Prado Blvd S Ste 107, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306833280 | NPI | - | NPPES |
259788800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME0081195 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Mailing Address | Practice Location Address |
---|---|
Kimberley A Ghuman, MD Po Box 2147, Ft Myers, FL 33902-2147 Ph: (239) 343-9888 | Kimberley A Ghuman, MD 650 Del Prado Blvd S Ste 107, Cape Coral, FL 33990 Ph: (239) 343-9888 |
Mr. Thomas Lee Seitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Del Prado Boulevard, Suite 103, Cape Coral, FL 33990 Phone: 239-768-2111 Fax: 239-458-2324 | |
Divya Panneerselvam, Pediatrics Medicare: Medicare Enrolled Practice Location: 316 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-226-4592 Fax: 239-458-0623 | |
Amber Christine Loyson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 206 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-829-1747 | |
Liliya Gerasymchuk, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 Phone: 239-573-7337 Fax: 239-574-5883 | |
Mrs. Kavitha S Taschner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 305 Sw 2nd Ter, Cape Coral, FL 33991 Phone: 239-344-2320 Fax: 239-573-3226 | |
Dr. Alan M Davick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1105 Cultural Park Blvd, Cape Coral, FL 33990 Phone: 239-275-3222 Fax: 239-332-0287 |