| Family Care Associates, Inc | |
|
191 Christiana Rd New Castle DE 19720-3024 | |
| (302) 322-1794 | |
| (302) 322-3498 |
| Full Name | Family Care Associates, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 191 Christiana Rd, New Castle, Delaware |
| Authorized Official Name and Position | Khaja Yezdani (PARTNER) |
| Authorized Official Contact | 3023221794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Associates, Inc 1602 Newport Gap Pike Wilmington DE 19808-6208 Ph: (302) 633-5840 | Family Care Associates, Inc 191 Christiana Rd New Castle DE 19720-3024 Ph: (302) 322-1794 |
| NPI Number | 1275595613 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335035740 |
|---|---|
| Medicare Enrollment ID | O20040224000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275595613 | NPI | - | NPPES |
| 1000015490 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1996105387 (Delaware) | Primary |
| Provider Name | Supraja V Chirra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831161520 PECOS PAC ID: 3577687714 Enrollment ID: I20100825000523 |
| Provider Name | Stephanie Mcdonnaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821209677 PECOS PAC ID: 2264682285 Enrollment ID: I20121026000480 |
| Provider Name | Khaja G Yezdani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548232226 PECOS PAC ID: 7214823467 Enrollment ID: I20140811000120 |
| Provider Name | Guirlene S Clervoix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730653833 PECOS PAC ID: 0648500082 Enrollment ID: I20190926002941 |
| Provider Name | Reny Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023655842 PECOS PAC ID: 3971937855 Enrollment ID: I20191231001501 |
| Provider Name | Monica Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184115354 PECOS PAC ID: 4385071356 Enrollment ID: I20200304000781 |
| Provider Name | Godwin Chukwuka Onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831767367 PECOS PAC ID: 6103223425 Enrollment ID: I20210929000063 |
| Provider Name | Sarena Shuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316712458 PECOS PAC ID: 2860838521 Enrollment ID: I20240315002988 |
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