| Hospitalist Medicine Physicians Of Virginia - Richmond Ii, Llc | |
|
8260 Atlee Rd Mechanicsville VA 23116-1844 | |
| (804) 764-6000 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Virginia - Richmond Ii, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8260 Atlee Rd, Mechanicsville, Virginia |
| Authorized Official Name and Position | Robert 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 Virginia - Richmond Ii, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of Virginia - Richmond Ii, Llc 8260 Atlee Rd Mechanicsville VA 23116-1844 Ph: (804) 764-6000 |
| NPI Number | 1316583040 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 9234566555 |
|---|---|
| Medicare Enrollment ID | O20200227000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316583040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wayne L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831158476 PECOS PAC ID: 5193613313 Enrollment ID: I20040309000917 |
| Provider Name | Hyunsun D Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952312258 PECOS PAC ID: 6901885615 Enrollment ID: I20040716000200 |
| Provider Name | Kavitha Krottapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134118144 PECOS PAC ID: 6103891221 Enrollment ID: I20040831001452 |
| Provider Name | Nsekenene Kolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685301 PECOS PAC ID: 0941277263 Enrollment ID: I20040915000436 |
| Provider Name | Salman F Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528046026 PECOS PAC ID: 2769420801 Enrollment ID: I20050420000310 |
| Provider Name | Nzinga Z Teule Hekima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851399901 PECOS PAC ID: 4587608013 Enrollment ID: I20050615001013 |
| Provider Name | Hasan M Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225068968 PECOS PAC ID: 4284686510 Enrollment ID: I20050808001246 |
| Provider Name | Noemi Romano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508874173 PECOS PAC ID: 3173515335 Enrollment ID: I20050915001152 |
| Provider Name | Sridhar Madhunapantula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003821844 PECOS PAC ID: 3577597582 Enrollment ID: I20050920000536 |
| Provider Name | Hammad Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427044205 PECOS PAC ID: 5496774820 Enrollment ID: I20051115000879 |
| Provider Name | Richard E Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079086 PECOS PAC ID: 6800816166 Enrollment ID: I20051201000111 |
| Provider Name | Kareem B Yostos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568475077 PECOS PAC ID: 4284631383 Enrollment ID: I20061102000562 |
| Provider Name | Michael E Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639186992 PECOS PAC ID: 5991702094 Enrollment ID: I20061102000579 |
| Provider Name | Imran Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689889511 PECOS PAC ID: 1355434911 Enrollment ID: I20070912000677 |
| Provider Name | Faizur Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992724520 PECOS PAC ID: 6204850977 Enrollment ID: I20071012000418 |
| Provider Name | Sheron T Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245422351 PECOS PAC ID: 0345323283 Enrollment ID: I20080214000576 |
| Provider Name | Razaak A Eniola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518902014 PECOS PAC ID: 0749298628 Enrollment ID: I20080617000042 |
| Provider Name | Melvin L Pegram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083773089 PECOS PAC ID: 2264590132 Enrollment ID: I20081021000655 |
| Provider Name | Cassandra A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518113091 PECOS PAC ID: 9638238652 Enrollment ID: I20081106000011 |
| Provider Name | Kyaw T Zaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467655076 PECOS PAC ID: 0345389680 Enrollment ID: I20091130000530 |
| Provider Name | Lubna Rana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023133469 PECOS PAC ID: 2466553789 Enrollment ID: I20100726000747 |
| Provider Name | Iryna Aberkorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780846071 PECOS PAC ID: 7810011426 Enrollment ID: I20100903000469 |
| Provider Name | Diego F Martinez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063483188 PECOS PAC ID: 4183726854 Enrollment ID: I20101102001018 |
| Provider Name | Fariah Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568774347 PECOS PAC ID: 5991993032 Enrollment ID: I20101216000327 |
| Provider Name | Nabeel A Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205968732 PECOS PAC ID: 1759579972 Enrollment ID: I20110103000483 |
| Provider Name | Mark N Dumas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548245855 PECOS PAC ID: 9739260779 Enrollment ID: I20110211000725 |
| Provider Name | Endalkachew G Erena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669631909 PECOS PAC ID: 7719169127 Enrollment ID: I20110307000495 |
| Provider Name | Sally Ann Tracy Mcintosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003915851 PECOS PAC ID: 5193887214 Enrollment ID: I20110415000517 |
| Provider Name | Samuel C Umesegha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891826202 PECOS PAC ID: 6204928666 Enrollment ID: I20110527000584 |
| Provider Name | Gerald L Quirk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346403474 PECOS PAC ID: 4486831062 Enrollment ID: I20110608000100 |
| Provider Name | Mahmud Uzzaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726014 PECOS PAC ID: 3476722737 Enrollment ID: I20110803000553 |
| Provider Name | Punit Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073761565 PECOS PAC ID: 8426228966 Enrollment ID: I20110819000217 |
| Provider Name | Vidya Nagamangala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720241128 PECOS PAC ID: 7719157577 Enrollment ID: I20110902000568 |
| Provider Name | Mihai F Gavris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306810049 PECOS PAC ID: 8820089709 Enrollment ID: I20110914000660 |
| Provider Name | Wondaya Tamene Debeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063717239 PECOS PAC ID: 1759552128 Enrollment ID: I20110914000689 |
| Provider Name | Gabriella T Joffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992999874 PECOS PAC ID: 8820168917 Enrollment ID: I20111027000796 |
| Provider Name | Narayan Bhetwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841418506 PECOS PAC ID: 9032205042 Enrollment ID: I20111206000522 |
| Provider Name | Kurwa Nyigu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417925272 PECOS PAC ID: 7416928650 Enrollment ID: I20120225000178 |
| Provider Name | Yi Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720201577 PECOS PAC ID: 0042318388 Enrollment ID: I20120508000236 |
| Provider Name | Shayasta S Mufti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093973687 PECOS PAC ID: 1557526027 Enrollment ID: I20120706000590 |
| Provider Name | Padmavathi Murakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285906602 PECOS PAC ID: 1254588809 Enrollment ID: I20120904000491 |
| Provider Name | Margaret Olubunmi Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20130122000388 |
| Provider Name | Babar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336377613 PECOS PAC ID: 5799928529 Enrollment ID: I20130827000541 |
| Provider Name | Guneet Sarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144534546 PECOS PAC ID: 0244474401 Enrollment ID: I20130910000698 |
| Provider Name | Vidya Raghavan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1194955286 PECOS PAC ID: 0547404675 Enrollment ID: I20130911000599 |
| Provider Name | John V Kottarathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477735439 PECOS PAC ID: 4082750484 Enrollment ID: I20131004000278 |
| Provider Name | Adeola O Adeyeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649432048 PECOS PAC ID: 7618149584 Enrollment ID: I20131125000511 |
| Provider Name | Saeed M Jadali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245526847 PECOS PAC ID: 2466683487 Enrollment ID: I20140314001401 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20140410000021 |
| Provider Name | Rosla Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770858367 PECOS PAC ID: 8921262908 Enrollment ID: I20140422000453 |
| Provider Name | Anna Villalobos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922270347 PECOS PAC ID: 8628217452 Enrollment ID: I20140512000829 |
| Provider Name | Anthony Oduje Isedeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445539 PECOS PAC ID: 2567688922 Enrollment ID: I20140722000768 |
| Provider Name | Nelson Enor Airewele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20150127000306 |
| Provider Name | Holly M Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699020222 PECOS PAC ID: 8820309008 Enrollment ID: I20150615000649 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20150630001258 |
| Provider Name | Ali Al-saadoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316209067 PECOS PAC ID: 3678714946 Enrollment ID: I20150813012282 |
| Provider Name | Diana V Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194109074 PECOS PAC ID: 1759696768 Enrollment ID: I20150820010443 |
| Provider Name | Jamie L Cannady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207131 PECOS PAC ID: 9234439811 Enrollment ID: I20151203002888 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20160516001507 |
| Provider Name | Esteban Antonio Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352819 PECOS PAC ID: 7315943131 Enrollment ID: I20161026000690 |
| Provider Name | Gonzalo Luizaga Coca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831331032 PECOS PAC ID: 7911163027 Enrollment ID: I20170207002070 |
| Provider Name | Michelle O Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932540747 PECOS PAC ID: 3173890118 Enrollment ID: I20170524000015 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20170621001990 |
| Provider Name | Mohamad Mouchli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821324179 PECOS PAC ID: 7618123035 Enrollment ID: I20170731003102 |
| Provider Name | Varun K Golla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578856910 PECOS PAC ID: 9032331186 Enrollment ID: I20170821000982 |
| Provider Name | Yonis Geberemariam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558624619 PECOS PAC ID: 7618281270 Enrollment ID: I20170907000665 |
| Provider Name | Samuel Kebede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790177129 PECOS PAC ID: 6204100977 Enrollment ID: I20170919001528 |
| Provider Name | Bertha Sanchez Valdivieso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356571236 PECOS PAC ID: 0042462947 Enrollment ID: I20171024003696 |
| Provider Name | Monika Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114368974 PECOS PAC ID: 6507153541 Enrollment ID: I20171205001440 |
| Provider Name | Ahmed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639560162 PECOS PAC ID: 1456667088 Enrollment ID: I20180410000841 |
| Provider Name | David Moh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295026607 PECOS PAC ID: 8224275979 Enrollment ID: I20180702002694 |
| Provider Name | Oumoul Khairi Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619358942 PECOS PAC ID: 2466744180 Enrollment ID: I20180730002312 |
| Provider Name | Anusha Kanagala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811384886 PECOS PAC ID: 7214285428 Enrollment ID: I20180803002407 |
| Provider Name | Phillip D Klahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821066432 PECOS PAC ID: 4284691049 Enrollment ID: I20180810000661 |
| Provider Name | Jessica Irit Mirakov Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255750600 PECOS PAC ID: 7315160819 Enrollment ID: I20180813000054 |
| Provider Name | Amber Marie Sholl Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912385790 PECOS PAC ID: 7810246659 Enrollment ID: I20180828000419 |
| Provider Name | Seme Tabassum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942686282 PECOS PAC ID: 4486905478 Enrollment ID: I20181002001435 |
| Provider Name | Ang Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003282427 PECOS PAC ID: 0648522631 Enrollment ID: I20181002001817 |
| Provider Name | Zeeshan Khakwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417207812 PECOS PAC ID: 8123241544 Enrollment ID: I20181002003897 |
| Provider Name | Asad G Almsallam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740659168 PECOS PAC ID: 7416257712 Enrollment ID: I20181017002210 |
| Provider Name | Nardos Fikru Asfaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952796351 PECOS PAC ID: 4981958055 Enrollment ID: I20181108002835 |
| Provider Name | Ali Entezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770847527 PECOS PAC ID: 3678886132 Enrollment ID: I20181112001015 |
| Provider Name | Nilsa M Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912153487 PECOS PAC ID: 1951620376 Enrollment ID: I20190103002251 |
| Provider Name | Joel Nathaniel Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664963 PECOS PAC ID: 7113230392 Enrollment ID: I20190212003020 |
| Provider Name | Atousa Mamhmoudzadeh Tabrizian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221449 PECOS PAC ID: 2860689197 Enrollment ID: I20190213002437 |
| Provider Name | Philip White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046189 PECOS PAC ID: 8729326350 Enrollment ID: I20190312002738 |
| Provider Name | Umar Mohammed Hardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972680239 PECOS PAC ID: 7810947892 Enrollment ID: I20190313002455 |
| Provider Name | Sushma Madala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437530003 PECOS PAC ID: 7315240199 Enrollment ID: I20190319002964 |
| Provider Name | Kevin Sun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093154635 PECOS PAC ID: 9931440997 Enrollment ID: I20190401002310 |
| Provider Name | Lindsay Edwards Muncy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013322734 PECOS PAC ID: 4183942469 Enrollment ID: I20190507003067 |
| Provider Name | Ashif K Jethava |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669632782 PECOS PAC ID: 5193908879 Enrollment ID: I20190610002729 |
| Provider Name | James Patrick Gundersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972683274 PECOS PAC ID: 9638166689 Enrollment ID: I20190813003711 |
| Provider Name | Arielle N Duncan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144648114 PECOS PAC ID: 2769755594 Enrollment ID: I20190822001156 |
| Provider Name | Maitri Shah Goldman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730525882 PECOS PAC ID: 8921230343 Enrollment ID: I20191001002341 |
| Provider Name | Asad Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841652484 PECOS PAC ID: 8921390402 Enrollment ID: I20191014001998 |
| Provider Name | Tejas Raiyani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932336922 PECOS PAC ID: 7517113376 Enrollment ID: I20191022001775 |
| Provider Name | Chandrika Raiyani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881043396 PECOS PAC ID: 4789977836 Enrollment ID: I20191107001822 |
| Provider Name | Omoye E Imoisili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275945396 PECOS PAC ID: 3476874371 Enrollment ID: I20191114001327 |
| Provider Name | Michael Lucrezio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023382207 PECOS PAC ID: 5193957116 Enrollment ID: I20191118002737 |
| Provider Name | Sarah Ann Wolcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235695214 PECOS PAC ID: 2466886692 Enrollment ID: I20191223000269 |
| Provider Name | Girmay Asgedom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699129213 PECOS PAC ID: 0345674982 Enrollment ID: I20200107001814 |
| Provider Name | Sohan Varma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679975049 PECOS PAC ID: 8527288240 Enrollment ID: I20200303000981 |
| Provider Name | Jason Mclavy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639245459 PECOS PAC ID: 7214993948 Enrollment ID: I20200303001627 |
| Provider Name | Cara Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841619723 PECOS PAC ID: 2466753116 Enrollment ID: I20200914001722 |
| Provider Name | Bleck B Ngwafang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962938803 PECOS PAC ID: 4587078654 Enrollment ID: I20210201002016 |
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