Atlantic Herring Inpatient Services Llc | |
1710 Lafayette Rd Crawfordsville IN 47933-1033 | |
(973) 251-1132 | |
(214) 712-2444 |
Full Name | Atlantic Herring Inpatient Services Llc |
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Speciality | Internal Medicine |
Location | 1710 Lafayette Rd, Crawfordsville, Indiana |
Authorized Official Name and Position | Kathleen Kondas (OFFICER) |
Authorized Official Contact | 9732511132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlantic Herring Inpatient Services Llc Po Box 38047 Philadelphia PA 19101-0812 Ph: (973) 251-1132 | Atlantic Herring Inpatient Services Llc 1710 Lafayette Rd Crawfordsville IN 47933-1033 Ph: (973) 251-1132 |
NPI Number | 1083010219 |
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Provider Enumeration Date | 11/17/2014 |
Last Update Date | 12/05/2019 |
Medicare PECOS PAC ID | 0941525521 |
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Medicare Enrollment ID | O20150203001562 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083010219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Shoaib H Rasheed |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1821082207 PECOS PAC ID: 5991791469 Enrollment ID: I20090730000341 |
Provider Name | Amjad Shihadeh |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1336337740 PECOS PAC ID: 6204907819 Enrollment ID: I20100604000234 |
Provider Name | Sagar Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326319096 PECOS PAC ID: 2365689841 Enrollment ID: I20130501000447 |
Provider Name | Melissa E King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265849632 PECOS PAC ID: 0244457166 Enrollment ID: I20140815001578 |
Provider Name | Chadi Saifan |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740450477 PECOS PAC ID: 1052487923 Enrollment ID: I20140916001233 |
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