| Denison, Goodman, Epsten & Haynes Medical Corporation | |
|
4060 4th Ave Suite 240 San Diego CA 92103-2116 | |
| (619) 291-6064 | |
| (619) 291-3078 |
| Full Name | Denison, Goodman, Epsten & Haynes Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4060 4th Ave, San Diego, California |
| Authorized Official Name and Position | Robert M Epsten (PRESIDENT) |
| Authorized Official Contact | 6192916064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denison, Goodman, Epsten & Haynes Medical Corporation 4060 4th Ave Suite 240 San Diego CA 92103-2116 Ph: (619) 291-6064 | Denison, Goodman, Epsten & Haynes Medical Corporation 4060 4th Ave Suite 240 San Diego CA 92103-2116 Ph: (619) 291-6064 |
| NPI Number | 1578621199 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 05/04/2015 |
| Medicare PECOS PAC ID | 8123008935 |
|---|---|
| Medicare Enrollment ID | O20040722000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578621199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G46179 (California) | Primary |
| Provider Name | Suja D Dubois |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013976612 PECOS PAC ID: 9436125010 Enrollment ID: I20040903001129 |
| Provider Name | Sally Stipho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467642215 PECOS PAC ID: 7810056090 Enrollment ID: I20081103000200 |
| Provider Name | Andrew B Cummins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699917096 PECOS PAC ID: 1557416278 Enrollment ID: I20090902000228 |
| Provider Name | Kishore V Gaddipati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720114093 PECOS PAC ID: 5597860460 Enrollment ID: I20100924000634 |
| Provider Name | Shehla Arain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497927784 PECOS PAC ID: 0042364630 Enrollment ID: I20140613001280 |
| Provider Name | Adam C Deising |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235285222 PECOS PAC ID: 5496051294 Enrollment ID: I20160303002216 |
| Provider Name | Sajiv Chandradas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720350465 PECOS PAC ID: 8325328131 Enrollment ID: I20161214000948 |
| Provider Name | Leonard Esward Philo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396893699 PECOS PAC ID: 5193016194 Enrollment ID: I20170105001550 |
| Provider Name | Daryl Fick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649324625 PECOS PAC ID: 3779801931 Enrollment ID: I20220110001141 |
| Provider Name | Faizi M. Hai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639523228 PECOS PAC ID: 6406269489 Enrollment ID: I20230711003130 |
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