Dr Pavan Malik, MD, MBA | |
111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 | |
(215) 955-6161 | |
(215) 923-5507 |
Full Name | Dr Pavan Malik |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 111 S. 11th Street, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699791186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C1-0007233 (Delaware) | Secondary |
207L00000X | Anesthesiology | MD418174 (Pennsylvania) | Primary |
Entity Name | Jefferson University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Entity Name | Premier Anesthesia Of Pennsylvania Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831493865 PECOS PAC ID: 2062696909 Enrollment ID: O20110418000548 |
Mailing Address | Practice Location Address |
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Dr Pavan Malik, MD, MBA 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 Ph: (215) 955-6161 | Dr Pavan Malik, MD, MBA 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 Ph: (215) 955-6161 |
Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507 | |
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000 | |
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270 | |
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085 | |
Aaron William Montani, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000 | |
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 |