Shavkat R Ruziev, MD | |
974 Isabel Dr, Lebanon, PA 17042-7482 | |
(215) 983-9441 | |
Not Available |
Full Name | Shavkat R Ruziev |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 974 Isabel Dr, Lebanon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578724308 | NPI | - | NPPES |
1160652 | Medicaid | LA | |
102757120 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD445750 (Pennsylvania) | Primary |
207R00000X | Internal Medicine | 204756 (Louisiana) | Secondary |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Pinnacle Health Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
Entity Name | J C Blair Medical Services Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1861575938 PECOS PAC ID: 7416051545 Enrollment ID: O20070329000662 |
Entity Name | Pinnacle Health Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023458148 PECOS PAC ID: 9739313545 Enrollment ID: O20131010001079 |
Entity Name | Pinnacle Health Regional Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013441690 PECOS PAC ID: 7416228358 Enrollment ID: O20170810001731 |
Mailing Address | Practice Location Address |
---|---|
Shavkat R Ruziev, MD 974 Isabel Dr, Lebanon, PA 17042-7482 Ph: (215) 983-9441 | Shavkat R Ruziev, MD 974 Isabel Dr, Lebanon, PA 17042-7482 Ph: (215) 983-9441 |
Naba Raj Mainali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 3, Lebanon, PA 17042 Phone: 717-270-4876 | |
Dr. Jason Reese, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-6150 | |
Dr. Rikka Asuncion Banayat, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 3, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 | |
Matthew Heffernan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 Norman Dr, Lebanon, PA 17042 Phone: 717-274-5500 Fax: 717-274-5189 | |
Robert Disantis, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Medicine Care Line, Bld 1, 5th Floor, Lebanon, PA 17042 Phone: 717-272-6621 | |
Priyanka Sharma, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 | |
Dr. Thaddeus Raymond Szydlowski, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 761 Norman Dr, Lebanon, PA 17042 Phone: 717-376-1180 Fax: 717-273-6937 |