| New Hope Specialty Clinic | |
|
3101 Latrobe Dr Charlotte NC 28211-4849 | |
| (704) 817-8331 | |
| (704) 817-8795 |
| Full Name | New Hope Specialty Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3101 Latrobe Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Kurian Chiramel Abraham (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7048178331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Specialty Clinic 3101 Latrobe Dr Charlotte NC 28211-4849 Ph: (704) 817-8331 | New Hope Specialty Clinic 3101 Latrobe Dr Charlotte NC 28211-4849 Ph: (704) 817-8331 |
| NPI Number | 1093081762 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 10/05/2020 |
| Medicare PECOS PAC ID | 9032373477 |
|---|---|
| Medicare Enrollment ID | O20120614000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093081762 | NPI | - | NPPES |
| Provider Name | Kurian C Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891754297 PECOS PAC ID: 4385636687 Enrollment ID: I20040330000556 |
| Provider Name | Santosh Kumar Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205853991 PECOS PAC ID: 7810986932 Enrollment ID: I20050706000423 |
| Provider Name | Daniel Roy Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992764591 PECOS PAC ID: 6002828233 Enrollment ID: I20060706000361 |
| Provider Name | Carey P Carrasquillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326593831 PECOS PAC ID: 5193003291 Enrollment ID: I20161025000151 |
| Provider Name | Jessy George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497222426 PECOS PAC ID: 6305183765 Enrollment ID: I20190409002543 |
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