Roula Altisheh, MD | |
401 Phalen Blvd, Saint Paul, MN 55130-5302 | |
(651) 254-7560 | |
Not Available |
Full Name | Roula Altisheh |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 19 Years |
Location | 401 Phalen Blvd, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609132125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 35.134068 (Ohio) | Secondary |
207K00000X | Allergy & Immunology | 73925 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cleveland Clinic | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleveland Clinic Foundation | 1850203555 | 5680 |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
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Roula Altisheh, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Roula Altisheh, MD 401 Phalen Blvd, Saint Paul, MN 55130-5302 Ph: (651) 254-7560 |
John Geoffrey Wahlstrom, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 565 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-698-0386 Fax: 651-698-0483 | |
Anthony Charles Orecchia, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-9700 | |
Dr. Niladri Aichbhaumik, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 565 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-698-0386 Fax: 651-698-0483 | |
Dr. Sarah Margaret Nicolai, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7560 Fax: 651-254-7564 | |
William Emmett Walsh, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1690 University Ave W, Suite 450, Saint Paul, MN 55104 Phone: 651-645-8182 Fax: 651-649-3509 | |
Timothy H Lind, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7560 Fax: 651-254-7564 |