Raquibul Islam, MD | |
125 E 9th St, Chester, PA 19013-6019 | |
(671) 872-6131 | |
(610) 872-5128 |
Full Name | Raquibul Islam |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 125 E 9th St, Chester, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174577035 | NPI | - | NPPES |
0016718790005 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD062423L (Pennsylvania) | Primary |
Entity Name | Chespenn Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750329603 PECOS PAC ID: 5991695389 Enrollment ID: O20200326000803 |
Mailing Address | Practice Location Address |
---|---|
Raquibul Islam, MD 2600 W 9th St, 2 North, Chester, PA 19013-2040 Ph: (610) 485-3800 | Raquibul Islam, MD 125 E 9th St, Chester, PA 19013-6019 Ph: (671) 872-6131 |
Courtney Fay, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-2000 Fax: 610-447-6373 | |
R. David Mishalove, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Pob Ii, Ste. 224, Chester, PA 19013 Phone: 610-876-2400 Fax: 610-876-4308 | |
Dr. Stephen C Nelson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Acp-331, Chester, PA 19013 Phone: 610-874-1253 Fax: 610-619-8429 | |
Dr. Susan Hoch, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Suite 306, Chester, PA 19013 Phone: 610-876-8882 Fax: 610-876-9411 | |
Asad U Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Prof. Bldg. 2, Chester, PA 19013 Phone: 610-619-7460 Fax: 610-876-9502 | |
Dr. Michael A. Farber, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Acp 231, Chester, PA 19013 Phone: 610-619-7475 Fax: 610-619-7477 |