Shirish Thanawala, | |
3117 Buhre Ave, Bronx, NY 10461-4738 | |
(718) 828-1148 | |
Not Available |
Full Name | Shirish Thanawala |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3117 Buhre Ave, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629081591 | NPI | - | NPPES |
87B281 | Other | NY | BCBS |
00562809 | Medicaid | NY | |
0010009 | Other | NY | GHI |
P00242609 | Other | RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | NY125316 (New York) | Primary |
Entity Name | Western Nassau Diagnostic Imaging Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033145289 PECOS PAC ID: 8820902653 Enrollment ID: O20031117000464 |
Mailing Address | Practice Location Address |
---|---|
Shirish Thanawala, 3117 Buhre Ave, Bronx, NY 10461-4738 Ph: () - | Shirish Thanawala, 3117 Buhre Ave, Bronx, NY 10461-4738 Ph: (718) 828-1148 |
Melanie G Kogan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Weiler - Dept. Of Radiology, 1825 Eastchester Road, Bronx, NY 10461 Phone: 718-904-2322 | |
Brett James Welke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2157 White Plains Rd, Bronx, NY 10462 Phone: 347-824-8065 Fax: 224-235-4652 | |
Jonathan J Trambert, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: Weiler - Dept. Of Radiology, 1825 Eastchester Road, Bronx, NY 10461 Phone: 718-904-2967 | |
Pramila Tiwari, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1739 Williams Bridge Road, Bronx, NY 10461 Phone: 718-824-1569 Fax: 718-409-5213 | |
Dr. Flavio Roberto Kamenetz, MD-PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Waters Pl, Ste M108, Bronx, NY 10461 Phone: 718-931-5620 Fax: 718-824-0706 | |
Leslie A Kory, MD Radiology Medicare: Medicare Enrolled Practice Location: Mmc - Dept. Of Radiology, 111 East 210th Street, Bronx, NY 10467 Phone: 718-920-4070 | |
Dr. Avraham B Zlochower, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 412-266-1608 |