| Greater Orlando Hospitalists | |
|
740 Florida Central Pkwy Longwood FL 32750-7651 | |
| (407) 767-0727 | |
| (407) 767-0750 |
| Full Name | Greater Orlando Hospitalists |
|---|---|
| Speciality | Internal Medicine |
| Location | 740 Florida Central Pkwy, Longwood, Florida |
| Authorized Official Name and Position | Azhar Chaudhry (OWNER) |
| Authorized Official Contact | 4075456232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Orlando Hospitalists 478 E Altamonte Dr # 108 # 410 Altamonte Springs FL 32701-4628 Ph: (407) 545-6232 | Greater Orlando Hospitalists 740 Florida Central Pkwy Longwood FL 32750-7651 Ph: (407) 767-0727 |
| NPI Number | 1922028208 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 07/15/2021 |
| Medicare PECOS PAC ID | 2769479344 |
|---|---|
| Medicare Enrollment ID | O20040427000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922028208 | NPI | - | NPPES |
| DB8326 | Other | FL | RAILROAD MEDICARE |
| 269296100 | Medicaid | FL | |
| 74520 | Other | FL | BLUE CROSS BLUE SHIELD |
| 74520 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME82888 (Florida) | Primary |
| Provider Name | Azhar I Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669491726 PECOS PAC ID: 0345237939 Enrollment ID: I20040428000292 |
| Provider Name | Kalpana V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821056847 PECOS PAC ID: 4587620315 Enrollment ID: I20041203000418 |
| Provider Name | Srinivasa R Buggana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053515221 PECOS PAC ID: 0446345615 Enrollment ID: I20071003000071 |
| Provider Name | Kinga G Janeczek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497964746 PECOS PAC ID: 1052464054 Enrollment ID: I20100226000673 |
| Provider Name | Asim Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366749731 PECOS PAC ID: 8426228669 Enrollment ID: I20120703000054 |
| Provider Name | Dioben Augusto Aquino De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467721811 PECOS PAC ID: 0547411027 Enrollment ID: I20121109000116 |
| Provider Name | Imad M Tahbub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639482391 PECOS PAC ID: 0648412791 Enrollment ID: I20130820000440 |
| Provider Name | Rory C Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043522915 PECOS PAC ID: 9638307564 Enrollment ID: I20150728003524 |
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