| Hospitalist Medicine Physicians Of Ohio-tcg, Professional Corporation | |
|
6001 E Broad St Columbus OH 43213-1502 | |
| (614) 234-7535 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Ohio-tcg, Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 6001 E Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Rob Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Ohio-tcg, Professional Corporation 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Ohio-tcg, Professional Corporation 6001 E Broad St Columbus OH 43213-1502 Ph: (614) 234-7535 |
| NPI Number | 1750860235 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 3072864099 |
|---|---|
| Medicare Enrollment ID | O20181001001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750860235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710909197 PECOS PAC ID: 9638160724 Enrollment ID: I20040518001607 |
| Provider Name | Aruna P Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285620252 PECOS PAC ID: 8527044783 Enrollment ID: I20040628000987 |
| Provider Name | Seref M Bornovali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508862244 PECOS PAC ID: 9234126350 Enrollment ID: I20040715000609 |
| Provider Name | Mitchell I Ballin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104866565 PECOS PAC ID: 2668439449 Enrollment ID: I20041214000036 |
| Provider Name | Bonaventure C Okoro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043280563 PECOS PAC ID: 1759349301 Enrollment ID: I20041229000288 |
| Provider Name | Kirk D Crouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972501997 PECOS PAC ID: 1759328131 Enrollment ID: I20050421001287 |
| Provider Name | Gerardo Cisneros-seibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194706408 PECOS PAC ID: 6507807211 Enrollment ID: I20050512000570 |
| Provider Name | Lisa M Esterle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427029248 PECOS PAC ID: 7214964923 Enrollment ID: I20050725000936 |
| Provider Name | Girish R N Mood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487755518 PECOS PAC ID: 4789615246 Enrollment ID: I20050824000508 |
| Provider Name | Michael W Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20050825000469 |
| Provider Name | Parul Ramesh Gujarathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073628616 PECOS PAC ID: 6305863028 Enrollment ID: I20051101000273 |
| Provider Name | Paramvir S Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093990335 PECOS PAC ID: 0244259026 Enrollment ID: I20051122000453 |
| Provider Name | Douglas Cifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689677544 PECOS PAC ID: 8224059969 Enrollment ID: I20051209000418 |
| Provider Name | Mark J Tereletsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881673614 PECOS PAC ID: 8426079849 Enrollment ID: I20051213000847 |
| Provider Name | Rashmi Srivastava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679539209 PECOS PAC ID: 4880608504 Enrollment ID: I20060202000271 |
| Provider Name | Jeffrey J Janda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265436109 PECOS PAC ID: 7810990041 Enrollment ID: I20060808000596 |
| Provider Name | Lamberto T R Galang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255496873 PECOS PAC ID: 6507967221 Enrollment ID: I20070725000481 |
| Provider Name | Ish Rawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467679589 PECOS PAC ID: 0749381069 Enrollment ID: I20070730000941 |
| Provider Name | Rimon Daoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073724118 PECOS PAC ID: 9133210578 Enrollment ID: I20070814000468 |
| Provider Name | Mazen Jarach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962624924 PECOS PAC ID: 1355436346 Enrollment ID: I20071005000404 |
| Provider Name | Sameer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972725083 PECOS PAC ID: 6406921311 Enrollment ID: I20080812000383 |
| Provider Name | Venkatesh Saravanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750574224 PECOS PAC ID: 0446325799 Enrollment ID: I20080820000635 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20081226000034 |
| Provider Name | Fredrick C Hayek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982722245 PECOS PAC ID: 9335197599 Enrollment ID: I20090605000615 |
| Provider Name | Dimitra Servetas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174723951 PECOS PAC ID: 0244386829 Enrollment ID: I20090923000461 |
| Provider Name | Michael H Linz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528009172 PECOS PAC ID: 7810032166 Enrollment ID: I20100311000096 |
| Provider Name | Luis J Martino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598734048 PECOS PAC ID: 0941241285 Enrollment ID: I20100709000209 |
| Provider Name | Carrie L Caruso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851574610 PECOS PAC ID: 1153454582 Enrollment ID: I20100805000040 |
| Provider Name | Tammy Susan Alverson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760558092 PECOS PAC ID: 2860673969 Enrollment ID: I20110223000214 |
| Provider Name | John Sifuentes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154433621 PECOS PAC ID: 5395711980 Enrollment ID: I20110509000543 |
| Provider Name | Christopher C Brodkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083651004 PECOS PAC ID: 9739192089 Enrollment ID: I20111122000383 |
| Provider Name | Leonardo Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629268891 PECOS PAC ID: 5698862662 Enrollment ID: I20111208000728 |
| Provider Name | Ziad Masri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750517397 PECOS PAC ID: 1355508300 Enrollment ID: I20120203000165 |
| Provider Name | Ogechi Muoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366604613 PECOS PAC ID: 9234391418 Enrollment ID: I20120504000247 |
| Provider Name | Pankil Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447269535 PECOS PAC ID: 5193980993 Enrollment ID: I20120628000579 |
| Provider Name | Vishal Sawhney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164622247 PECOS PAC ID: 5698931590 Enrollment ID: I20120720000577 |
| Provider Name | Khaled Almoselli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346497823 PECOS PAC ID: 7517135924 Enrollment ID: I20121226000437 |
| Provider Name | Autumn Lee White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992967467 PECOS PAC ID: 4486807716 Enrollment ID: I20130116000428 |
| Provider Name | Namrata Dhillon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689988099 PECOS PAC ID: 5496994071 Enrollment ID: I20130611000390 |
| Provider Name | Lee A Baggott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396778619 PECOS PAC ID: 4789644642 Enrollment ID: I20140116001727 |
| Provider Name | Julianne M Grossnickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659796142 PECOS PAC ID: 5597995621 Enrollment ID: I20140311000570 |
| Provider Name | Michael Hake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417259805 PECOS PAC ID: 2961625173 Enrollment ID: I20140515001121 |
| Provider Name | Ama Nkyima Nuamah |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225316276 PECOS PAC ID: 2668696493 Enrollment ID: I20140617000931 |
| Provider Name | Amy M Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992949150 PECOS PAC ID: 2860629979 Enrollment ID: I20140626002344 |
| Provider Name | Bassem Zraik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548542491 PECOS PAC ID: 5597982645 Enrollment ID: I20140813001194 |
| Provider Name | Janet A Blythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407305 PECOS PAC ID: 4789803826 Enrollment ID: I20140922002496 |
| Provider Name | Christopher Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316131253 PECOS PAC ID: 1254417793 Enrollment ID: I20150224001295 |
| Provider Name | John Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538257803 PECOS PAC ID: 4880584762 Enrollment ID: I20150415001799 |
| Provider Name | Houssam Mhanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508105560 PECOS PAC ID: 9436470655 Enrollment ID: I20150530000041 |
| Provider Name | Owais Khawaja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639292584 PECOS PAC ID: 3971676263 Enrollment ID: I20150616001307 |
| Provider Name | Sean Downes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225395452 PECOS PAC ID: 4284876848 Enrollment ID: I20150702001374 |
| Provider Name | Nicole L Culman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962741504 PECOS PAC ID: 4981916624 Enrollment ID: I20150708002772 |
| Provider Name | Joel S David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942560222 PECOS PAC ID: 3274845813 Enrollment ID: I20150709002625 |
| Provider Name | Shanti P Subbarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910295 PECOS PAC ID: 9638484850 Enrollment ID: I20150818004281 |
| Provider Name | Ryann Amber Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760849673 PECOS PAC ID: 7214234525 Enrollment ID: I20160401000063 |
| Provider Name | Fowad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568708428 PECOS PAC ID: 1850532532 Enrollment ID: I20160601002469 |
| Provider Name | Cassandra Jean Kovach |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245591494 PECOS PAC ID: 3274752951 Enrollment ID: I20160815002296 |
| Provider Name | Raffi L Bardakjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760825657 PECOS PAC ID: 8921317058 Enrollment ID: I20160914003009 |
| Provider Name | Justin Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104269612 PECOS PAC ID: 0547579328 Enrollment ID: I20160915001885 |
| Provider Name | Michelle N Akiko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285624 PECOS PAC ID: 8224269774 Enrollment ID: I20160930002190 |
| Provider Name | Amer Kadri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285076828 PECOS PAC ID: 8224325485 Enrollment ID: I20161003001105 |
| Provider Name | Yazid Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
| Provider Name | Michael Hayden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740544501 PECOS PAC ID: 1254611981 Enrollment ID: I20161214002208 |
| Provider Name | Pramit D Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689013781 PECOS PAC ID: 6507151636 Enrollment ID: I20170117001722 |
| Provider Name | Jeremy T Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528386729 PECOS PAC ID: 6709015951 Enrollment ID: I20170126002483 |
| Provider Name | Wenlan Duan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336374446 PECOS PAC ID: 5799081030 Enrollment ID: I20170323000205 |
| Provider Name | Riana Christine Rhoden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720412745 PECOS PAC ID: 6608098280 Enrollment ID: I20170330002639 |
| Provider Name | Andrew John Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801859004 PECOS PAC ID: 5991773731 Enrollment ID: I20170419000828 |
| Provider Name | Jesse John Dion |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619383734 PECOS PAC ID: 5193034163 Enrollment ID: I20170428001448 |
| Provider Name | Gopi K Patibandla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265710065 PECOS PAC ID: 8820221443 Enrollment ID: I20170525000056 |
| Provider Name | David Gunnerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588602106 PECOS PAC ID: 3577535053 Enrollment ID: I20170915002638 |
| Provider Name | Jonathan D Kanam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679988166 PECOS PAC ID: 0648497743 Enrollment ID: I20170927002797 |
| Provider Name | Michael P Walch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730508458 PECOS PAC ID: 3678799616 Enrollment ID: I20171020001608 |
| Provider Name | Chinedu Angela Igwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710207519 PECOS PAC ID: 1951545839 Enrollment ID: I20180108002964 |
| Provider Name | Christina A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194231316 PECOS PAC ID: 5698034080 Enrollment ID: I20180110000832 |
| Provider Name | Phalgoon A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821409319 PECOS PAC ID: 6507137312 Enrollment ID: I20180124003286 |
| Provider Name | Mathew Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902332307 PECOS PAC ID: 7719246487 Enrollment ID: I20180126000097 |
| Provider Name | Brittany K Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821383431 PECOS PAC ID: 7113149030 Enrollment ID: I20180412000853 |
| Provider Name | Oriade Adeoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417397688 PECOS PAC ID: 8123317583 Enrollment ID: I20180424001529 |
| Provider Name | Nana Yaa A Koram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518349885 PECOS PAC ID: 7214291756 Enrollment ID: I20180508002673 |
| Provider Name | Joseph B Agyepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817003 PECOS PAC ID: 7315247681 Enrollment ID: I20180515002057 |
| Provider Name | Ajay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851777577 PECOS PAC ID: 6204181167 Enrollment ID: I20180618000425 |
| Provider Name | Susan Renee Billetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992202824 PECOS PAC ID: 6204182256 Enrollment ID: I20180703003226 |
| Provider Name | Hee Kwan Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821473653 PECOS PAC ID: 7416254610 Enrollment ID: I20180724001090 |
| Provider Name | Chandni Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477949048 PECOS PAC ID: 2961796776 Enrollment ID: I20180802002174 |
| Provider Name | Danial Rashid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407098882 PECOS PAC ID: 9537323803 Enrollment ID: I20180907001421 |
| Provider Name | Gloria Koomson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376816330 PECOS PAC ID: 2961711890 Enrollment ID: I20181205000624 |
| Provider Name | Lisa M Kapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780150052 PECOS PAC ID: 9133468259 Enrollment ID: I20190306002499 |
| Provider Name | Angel Amado Lazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518329754 PECOS PAC ID: 8921340167 Enrollment ID: I20190508001877 |
| Provider Name | Calvin Ralph Spott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699124420 PECOS PAC ID: 4284977414 Enrollment ID: I20190509002804 |
| Provider Name | Alicia Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629424205 PECOS PAC ID: 3678867215 Enrollment ID: I20190731003142 |
| Provider Name | Harold Melvin Ickes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154779437 PECOS PAC ID: 4183954670 Enrollment ID: I20190926000305 |
| Provider Name | Ivan A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962988261 PECOS PAC ID: 3971835513 Enrollment ID: I20191030003148 |
| Provider Name | Ishwinder Singh Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891171609 PECOS PAC ID: 5597010322 Enrollment ID: I20200106002562 |
| Provider Name | Nicholas Burock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700317468 PECOS PAC ID: 9739516915 Enrollment ID: I20200227002634 |
| Provider Name | Curtis Ingold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487153185 PECOS PAC ID: 3274881313 Enrollment ID: I20200421000945 |
| Provider Name | Sudha Jagarlamudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881127793 PECOS PAC ID: 0244653046 Enrollment ID: I20200713002323 |
| Provider Name | Monica Wilk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649703604 PECOS PAC ID: 6901223908 Enrollment ID: I20200903003392 |
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