| Michael James Qaqish, | |
|
1648 Hamilton St, Allentown, PA 18102-5054 | |
| (484) 526-7800 | |
| Not Available |
| Full Name | Michael James Qaqish |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 1648 Hamilton St, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548657596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 28208078 (Pennsylvania) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | MD466506 (Pennsylvania) | Primary |
| Entity Name | St Lukes Warren Physician Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467725184 PECOS PAC ID: 9739093675 Enrollment ID: O20031117000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael James Qaqish, 5705 Mountain Laurel Dr, Coopersburg, PA 18036-2323 Ph: (610) 844-8397 | Michael James Qaqish, 1648 Hamilton St, Allentown, PA 18102-5054 Ph: (484) 526-7800 |
Robert D Barraco, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103 Phone: 610-402-1350 Fax: 610-402-1356 | |
Rovinder Singh Sandhu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-1350 | |
Dr. Daniel Ryan Latta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-482-8000 | |
Heiwon Chung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103 Phone: 610-402-7884 | |
Dr. Marissa Lynn Dallara, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 | |
William D Hardin Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1259 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-1259 | |
Dr. Amr Mohamed Arafa, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 451 Chew St Ste 407, Allentown, PA 18102 Phone: 332-999-5844 Fax: 610-973-3395 |