Rajat Nishant Moman, MD | |
8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | |
(352) 343-7246 | |
Not Available |
Full Name | Rajat Nishant Moman |
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Gender | Male |
Speciality | Anesthesiology |
Location | 8136 Centralia Ct Ste 103, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205369444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 28975 (Minnesota) | Secondary |
207L00000X | Anesthesiology | 64155 (Minnesota) | Secondary |
207L00000X | Anesthesiology | ME155653 (Florida) | Primary |
Entity Name | Pain And Spine Centers Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942587902 PECOS PAC ID: 2769657972 Enrollment ID: O20111215000653 |
Mailing Address | Practice Location Address |
---|---|
Rajat Nishant Moman, MD 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 Ph: (352) 343-7246 | Rajat Nishant Moman, MD 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 Ph: (352) 343-7246 |
Jean Emilcar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 | |
Roland Janis Adamsons, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Scott Shapiro, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9926 Bunker Rd, Leesburg, FL 34788 Phone: 352-874-8647 Fax: 352-365-6323 | |
Dr. Mario J Fernandez-grela, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 | |
Dr. Robin Lee Guiab, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 | |
Suresh Nadella, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-867-8898 Fax: 352-732-6282 |