Mohammed Ibrahim Shakhatreh, MD | |
2000 Grant Ave Ste 103, Philadelphia, PA 19115-4378 | |
(215) 992-6002 | |
Not Available |
Full Name | Mohammed Ibrahim Shakhatreh |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 2000 Grant Ave Ste 103, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811278088 | NPI | - | NPPES |
404357201 | Medicaid | TX | |
H08LV56001 | Other | TX | BCBS-TEXAS |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Heath | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aria Health Physician Services | 3577467018 | 407 |
Entity Name | Aria Health Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750949806 PECOS PAC ID: 3577467018 Enrollment ID: O20040224000045 |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
Mailing Address | Practice Location Address |
---|---|
Mohammed Ibrahim Shakhatreh, MD 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-9000 | Mohammed Ibrahim Shakhatreh, MD 2000 Grant Ave Ste 103, Philadelphia, PA 19115-4378 Ph: (215) 992-6002 |
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