Azizkhan Internal Medicine Associates | |
888 Poplar Church Rd Camp Hill PA 17011-2205 | |
(717) 724-2126 | |
(717) 724-2132 |
Full Name | Azizkhan Internal Medicine Associates |
---|---|
Speciality | Internal Medicine |
Location | 888 Poplar Church Rd, Camp Hill, Pennsylvania |
Authorized Official Name and Position | Reza G Azizkhan (PRESIDENT) |
Authorized Official Contact | 7177242126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Azizkhan Internal Medicine Associates 888 Poplar Church Rd Camp Hill PA 17011-2205 Ph: (717) 724-2126 | Azizkhan Internal Medicine Associates 888 Poplar Church Rd Camp Hill PA 17011-2205 Ph: (717) 724-2126 |
NPI Number | 1982666731 |
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Provider Enumeration Date | 04/06/2006 |
Last Update Date | 01/15/2010 |
Medicare PECOS PAC ID | 8527040351 |
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Medicare Enrollment ID | O20040604000055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982666731 | NPI | - | NPPES |
0019281210003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Steven Allen Prophet |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457349102 PECOS PAC ID: 8022008200 Enrollment ID: I20040518000780 |
Provider Name | Supriyo U Ghosh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366430019 PECOS PAC ID: 6305828138 Enrollment ID: I20040604000084 |
Provider Name | Reza George Azizkhan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548258296 PECOS PAC ID: 6507848330 Enrollment ID: I20050211000399 |
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