Ronak Rakesh Shah, DO | |
1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 | |
(520) 876-0416 | |
(520) 421-3474 |
Full Name | Ronak Rakesh Shah |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 1281 E Cottonwood Ln, Casa Grande, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679069538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 5101023946 (Michigan) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | UO8099 (Florida) | Primary |
Entity Name | Great Lakes Medicine Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740210517 PECOS PAC ID: 4880613637 Enrollment ID: O20051122000265 |
Mailing Address | Practice Location Address |
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Ronak Rakesh Shah, DO Po Box 749495, Atlanta, GA 30374-9495 Ph: (855) 963-2100 | Ronak Rakesh Shah, DO 1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 Ph: (520) 876-0416 |
Dr. Anne Borik, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 161 W Rodeo Rd, Casa Grande, AZ 85122 Phone: 520-836-1772 | |
Dr. Konstantin Mazursky, D.O Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Florence Blvd, Attn: Hospitalist Team, Casa Grande, AZ 85122 Phone: 480-543-2034 Fax: 480-543-2647 | |
Pranav Pillai, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1800 E Florence Blvd, Attn: Bmg Hospitalists/amanda Gump, Casa Grande, AZ 85122 Phone: 480-543-2034 Fax: 480-543-2647 | |
William M Jaffe, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1890 E Florence Blvd, Suite 1, Casa Grande, AZ 85122 Phone: 520-381-8850 Fax: 520-381-8851 | |
Dr. Romas Joseph Kirvaitis, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 803 N Salk Dr, Building A, Casa Grande, AZ 85122 Phone: 480-814-0266 Fax: 480-814-0018 | |
Mr. Mashood Qadri, DR Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1637 E Monument Plaza Cir, Suite 1, Casa Grande, AZ 85222 Phone: 520-426-1512 Fax: 520-876-5261 | |
Dr. Latrecia M Herring, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122 Phone: 520-836-5538 Fax: 520-836-6998 |