| Monogram Health Professional Services Of Delaware, Pa | |
|
200 Continental Dr Ste 401 Newark DE 19713-4337 | |
| (615) 673-4455 | |
| Not Available |
| Full Name | Monogram Health Professional Services Of Delaware, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Continental Dr Ste 401, Newark, Delaware |
| Authorized Official Name and Position | Shawn Verner (SECRETARY AND GENERAL COUNSEL) |
| Authorized Official Contact | 6159941889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Services Of Delaware, Pa 5410 Maryland Way Ste 400 Brentwood TN 37027-8087 Ph: (615) 465-8684 | Monogram Health Professional Services Of Delaware, Pa 200 Continental Dr Ste 401 Newark DE 19713-4337 Ph: (615) 673-4455 |
| NPI Number | 1215647441 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 4486027646 |
|---|---|
| Medicare Enrollment ID | O20230309000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215647441 | NPI | - | NPPES |
| Provider Name | Lubna Aslam Rashid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760626337 PECOS PAC ID: 9739374851 Enrollment ID: I20230309000054 |
| Provider Name | Shaminder Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20230309000101 |
| Provider Name | Moniba Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502441 PECOS PAC ID: 7517115074 Enrollment ID: I20230920001773 |
| Provider Name | Carrie R Hyde |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114260726 PECOS PAC ID: 1658696307 Enrollment ID: I20231013000014 |
| Provider Name | Parag Vohra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073749412 PECOS PAC ID: 5092860858 Enrollment ID: I20231130000146 |
| Provider Name | Jaclyn Masulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124565171 PECOS PAC ID: 5294149761 Enrollment ID: I20240408000709 |
| Provider Name | Amanda Linneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407456882 PECOS PAC ID: 5597176271 Enrollment ID: I20240424004162 |
| Provider Name | Ayesha Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942565742 PECOS PAC ID: 1153626684 Enrollment ID: I20240430002683 |
| Provider Name | Felicia Uzuyem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367253 PECOS PAC ID: 5193029080 Enrollment ID: I20240829004430 |
| Provider Name | Adaobi J Ideli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447910807 PECOS PAC ID: 1557715695 Enrollment ID: I20241016002372 |
| Provider Name | Kathleen Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861945735 PECOS PAC ID: 4587951082 Enrollment ID: I20241121001261 |
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