Mr Sol Reisin, MD | |
1550 North Imperial Avenue, Suite 1, El Centro, CA 92243-4242 | |
(760) 353-4710 | |
(760) 545-0244 |
Full Name | Mr Sol Reisin |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 1550 North Imperial Avenue, El Centro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700844222 | NPI | - | NPPES |
ZZZ47484Z | Other | CA | BLUE SHIELD ZZZ# |
GR0066310 | Other | CA | GROUP MEDI-CAL # |
00A396970 | Medicaid | CA | |
110111657 | Other | CA | RAILROAD PIN# |
W13536 | Other | CA | MEDICARE GROUP # |
WA39697B | Other | CA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A39697 (California) | Secondary |
207RN0300X | Internal Medicine - Nephrology | A39697 (California) | Primary |
Entity Name | Imperial Valley Family Care Medical Group A P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
Mailing Address | Practice Location Address |
---|---|
Mr Sol Reisin, MD 516 West Aten Road, Suite 2, Imperial, CA 92251-9805 Ph: (760) 355-7730 | Mr Sol Reisin, MD 1550 North Imperial Avenue, Suite 1, El Centro, CA 92243-4242 Ph: (760) 353-4710 |
Mr. Alidad M. Zadeh, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1600 S. Imperial Ave, Ste #3, El Centro, CA 92243 Phone: 760-339-2802 Fax: 760-355-9520 | |
Dr. Syed Hasnat Ahmed, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1271 Ross Ave, El Centro, CA 92243 Phone: 760-335-3030 Fax: 760-335-3035 | |
Sohaib Tariq, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 790 W Orange Ave Ste B, El Centro, CA 92243 Phone: 760-353-3222 Fax: 760-353-5607 | |
Shahid Hussain, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2205 Ross Ave, Ste 101, El Centro, CA 92243 Phone: 760-353-0404 Fax: 760-353-0392 | |
Ramin Seyed Berenji, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2205 Ross Ave, Ste 101, El Centro, CA 92243 Phone: 760-353-0404 Fax: 760-353-0392 | |
Dr. Prabhdeep Singh, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2061 Ross Ave, Suite B, El Centro, CA 92243 Phone: 760-352-5800 Fax: 760-545-0249 | |
Roberto Navarro, M.D., Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1415 Ross Ave, El Centro, CA 92243 Phone: 760-482-5075 |