| Gastro Associates | |
|
8186 Lark Brown Rd Ste 104 Elkridge MD 21075-6437 | |
| (410) 590-8920 | |
| (410) 553-2345 |
| Full Name | Gastro Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 8186 Lark Brown Rd Ste 104, Elkridge, Maryland |
| Authorized Official Name and Position | Mukul Khandelwal (PRESIDENT) |
| Authorized Official Contact | 4105908920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Associates Po Box 8416 Elkridge MD 21075-7500 Ph: (410) 590-8920 | Gastro Associates 8186 Lark Brown Rd Ste 104 Elkridge MD 21075-6437 Ph: (410) 590-8920 |
| NPI Number | 1316969256 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7416936620 |
|---|---|
| Medicare Enrollment ID | O20040720000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316969256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0052387 (Maryland) | Primary |
| Provider Name | John Wesolowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962440255 PECOS PAC ID: 3779485206 Enrollment ID: I20040330001573 |
| Provider Name | Ali Razi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932116241 PECOS PAC ID: 0244227288 Enrollment ID: I20040429001362 |
| Provider Name | Mahmood Solaiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316928849 PECOS PAC ID: 4981684933 Enrollment ID: I20040721001178 |
| Provider Name | Mukul Khandelwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871595942 PECOS PAC ID: 0042299257 Enrollment ID: I20040721001238 |
| Provider Name | Tsal N Wei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598932626 PECOS PAC ID: 6709858657 Enrollment ID: I20040923001278 |
| Provider Name | Enrico A Giangeruso |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568560134 PECOS PAC ID: 8527005180 Enrollment ID: I20061212000231 |
| Provider Name | Lu Lin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275665382 PECOS PAC ID: 9032215504 Enrollment ID: I20070430000106 |
| Provider Name | John Evans Preston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134129190 PECOS PAC ID: 8729187505 Enrollment ID: I20070619000550 |
| Provider Name | Stephen Villanyi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437150232 PECOS PAC ID: 6507942794 Enrollment ID: I20080328000100 |
| Provider Name | Erica Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104199736 PECOS PAC ID: 8729247317 Enrollment ID: I20120319000359 |
| Provider Name | Joseph O Udeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225305840 PECOS PAC ID: 5092974683 Enrollment ID: I20120319000367 |
| Provider Name | Anne Muntuerto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639446966 PECOS PAC ID: 5395906242 Enrollment ID: I20120419000637 |
| Provider Name | Joachim Gomes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386902823 PECOS PAC ID: 2466617360 Enrollment ID: I20140702000728 |
| Provider Name | Cesar Visurraga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528317716 PECOS PAC ID: 2961643390 Enrollment ID: I20141114000118 |
| Provider Name | Victoria F Ladele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932591559 PECOS PAC ID: 8022336072 Enrollment ID: I20150423000730 |
| Provider Name | Srinivas Mandava |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992904585 PECOS PAC ID: 3173500568 Enrollment ID: I20150617000145 |
| Provider Name | Sarah E West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992174734 PECOS PAC ID: 4587967989 Enrollment ID: I20191115000977 |
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