| Orlando Gastroenterology, P.a. | |
|
1507 S Hiawassee Rd Ste# 105 Orlando FL 32835-5718 | |
| (407) 445-9224 | |
| (407) 445-6236 |
| Full Name | Orlando Gastroenterology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1507 S Hiawassee Rd, Orlando, Florida |
| Authorized Official Name and Position | Srikiran Pothamsetty (PRESIDENT) |
| Authorized Official Contact | 4074459224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Gastroenterology, P.a. 1507 S Hiawassee Rd Ste# 105 Orlando FL 32835-5718 Ph: (407) 445-9224 | Orlando Gastroenterology, P.a. 1507 S Hiawassee Rd Ste# 105 Orlando FL 32835-5718 Ph: (407) 445-9224 |
| NPI Number | 1912002619 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 01/03/2013 |
| Medicare PECOS PAC ID | 4587818463 |
|---|---|
| Medicare Enrollment ID | O20130130000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912002619 | NPI | - | NPPES |
| 263820700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME82603 (Florida) | Primary |
| Provider Name | Srikiran Pothamsetty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821190562 PECOS PAC ID: 1456241348 Enrollment ID: I20040316000617 |
| Provider Name | Marianna Szabo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710905468 PECOS PAC ID: 8224089180 Enrollment ID: I20050208000723 |
| Provider Name | James K Allen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073592812 PECOS PAC ID: 6305855768 Enrollment ID: I20060418000162 |
| Provider Name | Martin R Austria |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902885999 PECOS PAC ID: 8426067588 Enrollment ID: I20060418000447 |
| Provider Name | Shams S Tabrez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215902184 PECOS PAC ID: 6305917139 Enrollment ID: I20080620000544 |
| Provider Name | Kerry L Dupuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528216934 PECOS PAC ID: 7911063219 Enrollment ID: I20090312000243 |
| Provider Name | Sabine R Olaughlin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508824228 PECOS PAC ID: 6507059094 Enrollment ID: I20101015000941 |
| Provider Name | Luis E Mejia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295771889 PECOS PAC ID: 8729168133 Enrollment ID: I20110603000194 |
| Provider Name | Anuj Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932420957 PECOS PAC ID: 6204075450 Enrollment ID: I20180608000894 |
| Provider Name | Archi Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710368501 PECOS PAC ID: 7618390063 Enrollment ID: I20200702000696 |
| Provider Name | Babu Pappu Mohan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619232139 PECOS PAC ID: 4385964501 Enrollment ID: I20230531001254 |
| Provider Name | Yevgeniya Goltser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053844746 PECOS PAC ID: 4880055763 Enrollment ID: I20230726000440 |
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Spartan Medical Men's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
Abid Rasool, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 | |
The Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Turkey Lake Rd Ste 208, Orlando, FL 32819 Phone: 407-648-5252 Fax: 407-370-4126 | |
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