| Indiana Diabetes & Endocrinology | |
|
1265 Wayne Ave Ste 103 Indiana PA 15701-3501 | |
| (724) 463-1048 | |
| (724) 463-1049 |
| Full Name | Indiana Diabetes & Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1265 Wayne Ave Ste 103, Indiana, Pennsylvania |
| Authorized Official Name and Position | Mushtaq A Syed (PHYSICIAN) |
| Authorized Official Contact | 7244631048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Diabetes & Endocrinology 1265 Wayne Ave Ste 103 Indiana PA 15701-3501 Ph: (724) 463-1048 | Indiana Diabetes & Endocrinology 1265 Wayne Ave Ste 103 Indiana PA 15701-3501 Ph: (724) 463-1048 |
| NPI Number | 1811558414 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 11/16/2020 |
| Medicare PECOS PAC ID | 1254660202 |
|---|---|
| Medicare Enrollment ID | O20190917001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811558414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Mushtaq A Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649230855 PECOS PAC ID: 4183676166 Enrollment ID: I20081111000246 |
| Provider Name | Annette Kubalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376089334 PECOS PAC ID: 3072898139 Enrollment ID: I20170403000667 |
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