| Gastroenterology Consultants, Ltd | |
|
2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 | |
| (414) 908-6615 | |
| (414) 385-2980 |
| Full Name | Gastroenterology Consultants, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Robert Kwech (ADMINISTRATOR) |
| Authorized Official Contact | 4149086507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants, Ltd 2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 Ph: (414) 908-6615 | Gastroenterology Consultants, Ltd 2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 Ph: (414) 908-6615 |
| NPI Number | 1730608324 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 10/25/2020 |
| Medicare PECOS PAC ID | 5092890079 |
|---|---|
| Medicare Enrollment ID | O20171101000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730608324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Lyndon V Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831166503 PECOS PAC ID: 5193626521 Enrollment ID: I20040119000000 |
| Provider Name | Jamal A Qureshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487761706 PECOS PAC ID: 4284694407 Enrollment ID: I20041013000005 |
| Provider Name | Nalini M Guda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750358420 PECOS PAC ID: 2264496314 Enrollment ID: I20041117001100 |
| Provider Name | Michael J Schmalz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801863576 PECOS PAC ID: 9234041658 Enrollment ID: I20050606001209 |
| Provider Name | Alex Ulitsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720015225 PECOS PAC ID: 4486667987 Enrollment ID: I20101028001133 |
| Provider Name | Ricardo A Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366419046 PECOS PAC ID: 2860675485 Enrollment ID: I20110319000067 |
| Provider Name | Daniel J Geenen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144297508 PECOS PAC ID: 8527970938 Enrollment ID: I20110409000036 |
| Provider Name | Brian Moloney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578775755 PECOS PAC ID: 2264525021 Enrollment ID: I20121017000249 |
| Provider Name | Syed Hussain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760696991 PECOS PAC ID: 9335326750 Enrollment ID: I20150724010423 |
| Provider Name | Julia Leo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891953295 PECOS PAC ID: 3678889524 Enrollment ID: I20150908002919 |
| Provider Name | William Blosky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740506195 PECOS PAC ID: 1254574130 Enrollment ID: I20160808002300 |
| Provider Name | Tatyana Taranukha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124361639 PECOS PAC ID: 5991024341 Enrollment ID: I20190725001320 |
| Provider Name | Michael James Schmalz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346655198 PECOS PAC ID: 7315163524 Enrollment ID: I20200618001960 |
| Provider Name | Bharat Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982040358 PECOS PAC ID: 6103059183 Enrollment ID: I20200702001821 |
| Provider Name | Chetan Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407140015 PECOS PAC ID: 4587896220 Enrollment ID: I20220823003423 |
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