| Infectious Disease Associates, Pllc | |
|
2800 Chicago Ave Suite 250 Minneapolis MN 55407-1318 | |
| (612) 863-2132 | |
| Not Available |
| Full Name | Infectious Disease Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2800 Chicago Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jason Louis Sanchez (PRESIDENT) |
| Authorized Official Contact | 7632683165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates, Pllc 6200 Shingle Creek Pkwy Suite 260 Brooklyn Center MN 55430-2128 Ph: (763) 561-5986 | Infectious Disease Associates, Pllc 2800 Chicago Ave Suite 250 Minneapolis MN 55407-1318 Ph: (612) 863-2132 |
| NPI Number | 1861572190 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 12/17/2015 |
| Medicare PECOS PAC ID | 7719288638 |
|---|---|
| Medicare Enrollment ID | O20151218001593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861572190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 43565 (Minnesota) | Primary |
| Provider Name | Leslie A Baken |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750368288 PECOS PAC ID: 9638117815 Enrollment ID: I20050419000543 |
| Provider Name | Kristin B Epland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487710067 PECOS PAC ID: 4981634946 Enrollment ID: I20050818000886 |
| Provider Name | Jason Louis Sanchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518048842 PECOS PAC ID: 9234136094 Enrollment ID: I20061109000070 |
| Provider Name | Odette C El Helou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154402105 PECOS PAC ID: 1951309251 Enrollment ID: I20061121000325 |
| Provider Name | Cristina N Batog |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740595982 PECOS PAC ID: 0446499610 Enrollment ID: I20130619000212 |
| Provider Name | Asma Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659425569 PECOS PAC ID: 3971554122 Enrollment ID: I20161114001424 |
| Provider Name | Sashi Niranjan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068987 PECOS PAC ID: 6507119039 Enrollment ID: I20230215000632 |
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