| Elena Annopolsky M.d.p.c. | |
|
9150 Marshall St Ste 17 Philadelphia PA 19114-2217 | |
| (215) 698-1995 | |
| Not Available |
| Full Name | Elena Annopolsky M.d.p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9150 Marshall St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Elena Annopolsky (MEDICAL DOCTOR) |
| Authorized Official Contact | 2156981995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Annopolsky M.d.p.c. 9150 Marshall St Ste 17 Philadelphia PA 19114-2217 Ph: () - | Elena Annopolsky M.d.p.c. 9150 Marshall St Ste 17 Philadelphia PA 19114-2217 Ph: (215) 698-1995 |
| NPI Number | 1538109707 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3476988262 |
|---|---|
| Medicare Enrollment ID | O20200124002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538109707 | NPI | - | NPPES |
| 0017564570005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD067857L (Pennsylvania) | Primary |
| Provider Name | Sarwat Jahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770707473 PECOS PAC ID: 9931012424 Enrollment ID: I20031111000137 |
| Provider Name | Elena Annopolsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316900798 PECOS PAC ID: 3971797861 Enrollment ID: I20101104000926 |
| Provider Name | Deepali Mathur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497308753 PECOS PAC ID: 5597191965 Enrollment ID: I20200203001154 |
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