Mrs Deepa Cherla Patel, MD | |
1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | |
(908) 227-4052 | |
Not Available |
Full Name | Mrs Deepa Cherla Patel |
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Gender | Female |
Speciality | Surgery |
Location | 1950 N Harlem Ave, Elmwood Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265876684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036.163270 (Illinois) | Primary |
Entity Name | Tiesenga Surgical Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801876586 PECOS PAC ID: 5597750901 Enrollment ID: O20040420001105 |
Mailing Address | Practice Location Address |
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Mrs Deepa Cherla Patel, MD 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 Ph: (708) 453-6800 | Mrs Deepa Cherla Patel, MD 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 Ph: (908) 227-4052 |
Charles Bradley Schubert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3235 | |
Henry Robert Govekar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 | |
Athanasios D. Diniotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3235 | |
Dr. Juaquito Mario Jorge, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 | |
Timothy Jordan Stear, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 | |
Alexander Knijnikov, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N. Harlem Ave., Suburban Surgery Center, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 |