Nabil Koudsi, MD | |
811 East 11th St, #207, Upland, CA 91786-4872 | |
(909) 981-3411 | |
(909) 946-7740 |
Full Name | Nabil Koudsi |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 811 East 11th St, Upland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750411070 | NPI | - | NPPES |
00A337970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A33797 (California) | Primary |
Entity Name | Synergy Ct Surgery Partnership |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366711236 PECOS PAC ID: 5698939957 Enrollment ID: O20120618000312 |
Mailing Address | Practice Location Address |
---|---|
Nabil Koudsi, MD 811 East 11th St, #207, Upland, CA 91786-4872 Ph: (909) 981-3411 | Nabil Koudsi, MD 811 East 11th St, #207, Upland, CA 91786-4872 Ph: (909) 981-3411 |
Dr. Matthew Jordan Nykiel, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 103, Upland, CA 91786 Phone: 949-429-0890 Fax: 949-340-0696 | |
Irene Bielawiec Houari, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 San Bernardino Rd Suite 301, Upland, CA 91786 Phone: 909-946-6221 Fax: 909-949-3802 | |
Bradford James Kim, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1100 San Bernardino Rd Ste 1100, Upland, CA 91786 Phone: 909-949-2242 Fax: 909-981-5783 | |
Stanley Saul, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2112 Fax: 909-985-3411 | |
Donna E Dudziak, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 San Bernardino Rd, Ste 301, Upland, CA 91786 Phone: 909-946-6221 Fax: 909-949-3802 | |
Adam Quasar Sugihara, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 811 E 11th St Ste 207, Upland, CA 91786 Phone: 909-870-3033 Fax: 909-870-3034 | |
Dr. Gilbert Ray Turner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 591 N 13th Ave Ste 2, Upland, CA 91786 Phone: 909-946-6209 |