| Monogram Health Professional Medical Services Pllc | |
|
50 Fountain Plz Ste 1400 Buffalo NY 14202-2215 | |
| (615) 673-4455 | |
| Not Available |
| Full Name | Monogram Health Professional Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Fountain Plz Ste 1400, Buffalo, New York |
| Authorized Official Name and Position | Shawn Verner (GENERAL COUNSEL) |
| Authorized Official Contact | 6156734455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Medical Services Pllc 5410 Maryland Way Ste 400 Brentwood TN 37027-8087 Ph: (615) 465-8684 | Monogram Health Professional Medical Services Pllc 50 Fountain Plz Ste 1400 Buffalo NY 14202-2215 Ph: (615) 673-4455 |
| NPI Number | 1568169845 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 0244697464 |
|---|---|
| Medicare Enrollment ID | O20230602002549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568169845 | NPI | - | NPPES |
| Provider Name | Neel Desai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083952436 PECOS PAC ID: 2668607524 Enrollment ID: I20170906000736 |
| Provider Name | Ann Katherine Mignone-cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891079703 PECOS PAC ID: 6103254958 Enrollment ID: I20200310001999 |
| Provider Name | Maymonah Belal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972986529 PECOS PAC ID: 6204169014 Enrollment ID: I20200923002924 |
| Provider Name | Ricky Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396079562 PECOS PAC ID: 3375938673 Enrollment ID: I20221206000536 |
| Provider Name | Shaminder Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20230602002605 |
| Provider Name | Sunita Pannachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518512383 PECOS PAC ID: 5991189466 Enrollment ID: I20230705000546 |
| Provider Name | Ayesha Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942565742 PECOS PAC ID: 1153626684 Enrollment ID: I20240212003511 |
| Provider Name | Stephen Mcquillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831623800 PECOS PAC ID: 1153735527 Enrollment ID: I20240419000984 |
| Provider Name | Chelsea Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659899375 PECOS PAC ID: 4587921895 Enrollment ID: I20241016000130 |
| Provider Name | Jahaira E Lasanta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649626409 PECOS PAC ID: 1759646052 Enrollment ID: I20241031001833 |
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