| Infectious Disease Consultants Pa | |
|
2901 Coral Hills Drive Suite 220 Coral Springs FL 33065-4146 | |
| (954) 345-0404 | |
| (954) 346-8315 |
| Full Name | Infectious Disease Consultants Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2901 Coral Hills Drive, Coral Springs, Florida |
| Authorized Official Name and Position | Melvin S. Kohan (PRESIDENT) |
| Authorized Official Contact | 9543450404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Pa 2901 Coral Hills Drive Suite 220 Coral Springs FL 33065-4146 Ph: (954) 345-0404 | Infectious Disease Consultants Pa 2901 Coral Hills Drive Suite 220 Coral Springs FL 33065-4146 Ph: (954) 345-0404 |
| NPI Number | 1497868707 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/19/2007 |
| Medicare PECOS PAC ID | 1658325840 |
|---|---|
| Medicare Enrollment ID | O20050310000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497868707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME48547 (Florida) | Primary |
| Provider Name | Indulekha N Gopal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700831088 PECOS PAC ID: 9234183435 Enrollment ID: I20050310000445 |
| Provider Name | Jaroslav Ondrusek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396799383 PECOS PAC ID: 8426145061 Enrollment ID: I20080111000151 |
| Provider Name | Sara R Buchstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134101314 PECOS PAC ID: 6103859483 Enrollment ID: I20080425000253 |
| Provider Name | Cesar A Randich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184679508 PECOS PAC ID: 2668653429 Enrollment ID: I20110226000097 |
| Provider Name | Melvin Kohan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548215460 PECOS PAC ID: 9436103629 Enrollment ID: I20110226000102 |
| Provider Name | Hamed A Komaiha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558317594 PECOS PAC ID: 2163604745 Enrollment ID: I20110303000778 |
| Provider Name | Ruth Soto-malave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437125143 PECOS PAC ID: 4385610955 Enrollment ID: I20180614002749 |
| Provider Name | Genevieve A John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598809279 PECOS PAC ID: 3072618081 Enrollment ID: I20181219002052 |
| Provider Name | Rose Moet Moet Aye |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144614090 PECOS PAC ID: 3678872512 Enrollment ID: I20200918001767 |
| Provider Name | Shilpa Chaudhari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083952493 PECOS PAC ID: 4981921624 Enrollment ID: I20210528001767 |
| Provider Name | Shelly-ann Annmarie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679236848 PECOS PAC ID: 0840689147 Enrollment ID: I20211108000814 |
| Provider Name | Tapuwa D Matondo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780073742 PECOS PAC ID: 6204129422 Enrollment ID: I20220411001817 |
| Provider Name | Daniel Berman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336128206 PECOS PAC ID: 6901839885 Enrollment ID: I20220824001092 |
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