| Questcare Hospitalists Pllc | |
|
7777 Forest Ln Dallas TX 75230-2571 | |
| (469) 401-2386 | |
| Not Available |
| Full Name | Questcare Hospitalists Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 7777 Forest Ln, Dallas, Texas |
| Authorized Official Name and Position | Karen Vaughn (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Questcare Hospitalists Pllc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (954) 838-2371 | Questcare Hospitalists Pllc 7777 Forest Ln Dallas TX 75230-2571 Ph: (469) 401-2386 |
| NPI Number | 1265441620 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 5799785119 |
|---|---|
| Medicare Enrollment ID | O20070109000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265441620 | NPI | - | NPPES |
| 0047NX | Other | TX | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Valentino F Fernandes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144213489 PECOS PAC ID: 0143127092 Enrollment ID: I20031217001045 |
| Provider Name | Robert T Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962445346 PECOS PAC ID: 9739173394 Enrollment ID: I20040414001380 |
| Provider Name | Nisha M Saran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770602237 PECOS PAC ID: 3577551167 Enrollment ID: I20040503001445 |
| Provider Name | Fang David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710902473 PECOS PAC ID: 2567450562 Enrollment ID: I20040505001843 |
| Provider Name | Paul C Harris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982614251 PECOS PAC ID: 7012999097 Enrollment ID: I20040603000470 |
| Provider Name | Tara C Goodwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306860366 PECOS PAC ID: 3779567649 Enrollment ID: I20040617000316 |
| Provider Name | Zahid N Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043209075 PECOS PAC ID: 7911982418 Enrollment ID: I20040621000454 |
| Provider Name | Adina Manuela Logan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881667178 PECOS PAC ID: 4082684683 Enrollment ID: I20040730000100 |
| Provider Name | Ryan H Heise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578506010 PECOS PAC ID: 0840260352 Enrollment ID: I20040730000253 |
| Provider Name | Minh G Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740387695 PECOS PAC ID: 9133190846 Enrollment ID: I20040805000242 |
| Provider Name | Hiren D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891731865 PECOS PAC ID: 7911976378 Enrollment ID: I20041001000353 |
| Provider Name | Song Md Hong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043311806 PECOS PAC ID: 9537129390 Enrollment ID: I20041015000296 |
| Provider Name | Dominic M Meza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205933157 PECOS PAC ID: 2062474182 Enrollment ID: I20041101000906 |
| Provider Name | Theresa F Eichenwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992800486 PECOS PAC ID: 4981668753 Enrollment ID: I20041112000449 |
| Provider Name | Richa Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760413611 PECOS PAC ID: 7012971336 Enrollment ID: I20041116001277 |
| Provider Name | James C Ikemba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124055579 PECOS PAC ID: 5597754341 Enrollment ID: I20050110000865 |
| Provider Name | Robert L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184686073 PECOS PAC ID: 7012965536 Enrollment ID: I20050111000445 |
| Provider Name | Christopher N Rheams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649258989 PECOS PAC ID: 7911958483 Enrollment ID: I20050202000695 |
| Provider Name | Stanislav Petrov Ivanov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932206679 PECOS PAC ID: 1557312923 Enrollment ID: I20050202000780 |
| Provider Name | Tom A Tarkenton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306824651 PECOS PAC ID: 0345294286 Enrollment ID: I20050303000714 |
| Provider Name | Guy R Bibeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851321558 PECOS PAC ID: 4486554508 Enrollment ID: I20050310000229 |
| Provider Name | Venkatesh S Nayak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467471078 PECOS PAC ID: 0648218677 Enrollment ID: I20050420001062 |
| Provider Name | Erik R Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447210331 PECOS PAC ID: 4486684354 Enrollment ID: I20050819000623 |
| Provider Name | Stephanie Atiyeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659356053 PECOS PAC ID: 8325071384 Enrollment ID: I20050912000594 |
| Provider Name | Jorge F Lozano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851380513 PECOS PAC ID: 8527093723 Enrollment ID: I20050927000664 |
| Provider Name | Debra A Vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104908581 PECOS PAC ID: 9234158395 Enrollment ID: I20051117000481 |
| Provider Name | Joseph Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275503492 PECOS PAC ID: 1355361718 Enrollment ID: I20051130000208 |
| Provider Name | Sireesha Janga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447286471 PECOS PAC ID: 9537180252 Enrollment ID: I20051209000280 |
| Provider Name | Rajasekhar Borra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962508705 PECOS PAC ID: 0042256737 Enrollment ID: I20051230000413 |
| Provider Name | Khiem Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932143898 PECOS PAC ID: 5799709069 Enrollment ID: I20060125000783 |
| Provider Name | Timothy Clark Bray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689643090 PECOS PAC ID: 3274526389 Enrollment ID: I20060131000413 |
| Provider Name | Saji Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760458343 PECOS PAC ID: 1951317478 Enrollment ID: I20060221000675 |
| Provider Name | Ravi B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093764169 PECOS PAC ID: 2365450574 Enrollment ID: I20060330000141 |
| Provider Name | Terry Mark Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831162585 PECOS PAC ID: 6305855248 Enrollment ID: I20060420000382 |
| Provider Name | Poornima Chadalawada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679501258 PECOS PAC ID: 2567472004 Enrollment ID: I20060428000246 |
| Provider Name | Shalini Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679501225 PECOS PAC ID: 9234135443 Enrollment ID: I20061011000579 |
| Provider Name | Sunil Movva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790714053 PECOS PAC ID: 8729084892 Enrollment ID: I20061012000308 |
| Provider Name | Asma M Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063439529 PECOS PAC ID: 7911907290 Enrollment ID: I20070110000578 |
| Provider Name | Dipauni S Doshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831162874 PECOS PAC ID: 0042212037 Enrollment ID: I20070205000058 |
| Provider Name | Justice U Odu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245330745 PECOS PAC ID: 0345342226 Enrollment ID: I20070223000151 |
| Provider Name | Alain Folefack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447350822 PECOS PAC ID: 0244332013 Enrollment ID: I20070226000136 |
| Provider Name | Thilina P.b. Marasinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821160938 PECOS PAC ID: 4981708260 Enrollment ID: I20070326000377 |
| Provider Name | Giti Azmabalani |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1326106899 PECOS PAC ID: 7315043791 Enrollment ID: I20070501000420 |
| Provider Name | Qaiser Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194883207 PECOS PAC ID: 3779683792 Enrollment ID: I20070705000234 |
| Provider Name | Adebola Adesanya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124080288 PECOS PAC ID: 0244331775 Enrollment ID: I20070726000860 |
| Provider Name | Hetal Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699989525 PECOS PAC ID: 8820199375 Enrollment ID: I20070727000173 |
| Provider Name | Christian F Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932188208 PECOS PAC ID: 7719886621 Enrollment ID: I20070801000371 |
| Provider Name | Bushra I Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174502769 PECOS PAC ID: 8820988785 Enrollment ID: I20070806000240 |
| Provider Name | Lauretta U Ogbue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003807462 PECOS PAC ID: 2062478092 Enrollment ID: I20070806000510 |
| Provider Name | Mandy Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194749101 PECOS PAC ID: 1052403433 Enrollment ID: I20070815000865 |
| Provider Name | Horacio G Hau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386840197 PECOS PAC ID: 3274620216 Enrollment ID: I20071107000481 |
| Provider Name | Bhagya R Arise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700903028 PECOS PAC ID: 0244329001 Enrollment ID: I20071130000389 |
| Provider Name | Nidhi Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588786198 PECOS PAC ID: 5193815355 Enrollment ID: I20071212000456 |
| Provider Name | Nhi L Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366638538 PECOS PAC ID: 9133209273 Enrollment ID: I20080102000462 |
| Provider Name | Nausheen Gowani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689874257 PECOS PAC ID: 4183706195 Enrollment ID: I20080130000280 |
| Provider Name | Koovapudi Jayaram Shankar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548296429 PECOS PAC ID: 0941270953 Enrollment ID: I20080227000325 |
| Provider Name | Mark R Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427055102 PECOS PAC ID: 8729163233 Enrollment ID: I20080307000499 |
| Provider Name | Angela S Bentle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230547 PECOS PAC ID: 8820060635 Enrollment ID: I20080325000041 |
| Provider Name | Sawroop Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871633636 PECOS PAC ID: 8426143066 Enrollment ID: I20080428000281 |
| Provider Name | Robert Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467498501 PECOS PAC ID: 2466468764 Enrollment ID: I20080512000393 |
| Provider Name | Raja S Pathapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083669501 PECOS PAC ID: 3779522081 Enrollment ID: I20080605000872 |
| Provider Name | Rajesh P Subramania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588694525 PECOS PAC ID: 2668426081 Enrollment ID: I20080709000699 |
| Provider Name | Matthew S Opalach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316164403 PECOS PAC ID: 9032284575 Enrollment ID: I20080819000425 |
| Provider Name | Michael Hughes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811959885 PECOS PAC ID: 5294801452 Enrollment ID: I20080911000686 |
| Provider Name | Randall K Wagman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225033574 PECOS PAC ID: 1456447358 Enrollment ID: I20081010000509 |
| Provider Name | Farzad Fakouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043408495 PECOS PAC ID: 7517026859 Enrollment ID: I20081031000509 |
| Provider Name | Arshad Asghar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255541488 PECOS PAC ID: 4082695218 Enrollment ID: I20081125000102 |
| Provider Name | Yamuna Gurrapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255514576 PECOS PAC ID: 3072674167 Enrollment ID: I20081208000519 |
| Provider Name | John D Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528077112 PECOS PAC ID: 2163584319 Enrollment ID: I20081222000422 |
| Provider Name | Durga P Nelapolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831299569 PECOS PAC ID: 1153398516 Enrollment ID: I20081230000173 |
| Provider Name | Sein Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225099104 PECOS PAC ID: 3577575315 Enrollment ID: I20090113000218 |
| Provider Name | Roland E Siegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306832761 PECOS PAC ID: 8820151145 Enrollment ID: I20090113000758 |
| Provider Name | Eleazar Quintanilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518126309 PECOS PAC ID: 5597822494 Enrollment ID: I20090320000121 |
| Provider Name | Suguna K Neelakantan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326257205 PECOS PAC ID: 5698823607 Enrollment ID: I20090501000066 |
| Provider Name | Jaya Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740303411 PECOS PAC ID: 4587712377 Enrollment ID: I20090505000362 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174518633 PECOS PAC ID: 0547310112 Enrollment ID: I20090603000233 |
| Provider Name | Swapna Ghattamaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063648277 PECOS PAC ID: 9638229636 Enrollment ID: I20090612000537 |
| Provider Name | Safia Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164673893 PECOS PAC ID: 0941350748 Enrollment ID: I20090617000425 |
| Provider Name | Aroon Kalakunja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801857636 PECOS PAC ID: 2961491188 Enrollment ID: I20090707000612 |
| Provider Name | Danielle Renee Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568601516 PECOS PAC ID: 6709938129 Enrollment ID: I20090716000237 |
| Provider Name | Sireesha Kolachalama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154494110 PECOS PAC ID: 2466453923 Enrollment ID: I20090724000218 |
| Provider Name | Corentine Arimboh Ako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386854834 PECOS PAC ID: 4981752201 Enrollment ID: I20090805000450 |
| Provider Name | Jeffrey J Fanning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962442087 PECOS PAC ID: 1456355445 Enrollment ID: I20090818000764 |
| Provider Name | Zakari Tanimu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194785923 PECOS PAC ID: 1052304383 Enrollment ID: I20090921000717 |
| Provider Name | Elango P Vinjirayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093975278 PECOS PAC ID: 4385790708 Enrollment ID: I20090925000301 |
| Provider Name | Alok Oswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376684027 PECOS PAC ID: 5799823829 Enrollment ID: I20091111000088 |
| Provider Name | Saima Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588667356 PECOS PAC ID: 7810934445 Enrollment ID: I20091202000384 |
| Provider Name | Bindu Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316038722 PECOS PAC ID: 8921147653 Enrollment ID: I20091209000207 |
| Provider Name | Kwame B Agyeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285863753 PECOS PAC ID: 1052452992 Enrollment ID: I20100114000076 |
| Provider Name | Ermilo D Dilley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528054723 PECOS PAC ID: 6507908464 Enrollment ID: I20100115000341 |
| Provider Name | Ganana Tesfa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891844577 PECOS PAC ID: 9335282615 Enrollment ID: I20100209000505 |
| Provider Name | Kiranmai Yalamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669681953 PECOS PAC ID: 1254425895 Enrollment ID: I20100327000459 |
| Provider Name | Preston Clay Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649272394 PECOS PAC ID: 4688700396 Enrollment ID: I20100406000445 |
| Provider Name | Padma Nagalakshmi Munukuti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972651305 PECOS PAC ID: 7810092301 Enrollment ID: I20100720000324 |
| Provider Name | Sherif Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518167188 PECOS PAC ID: 9830221233 Enrollment ID: I20100721000235 |
| Provider Name | Carla G Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073727442 PECOS PAC ID: 4385777366 Enrollment ID: I20100727001013 |
| Provider Name | Jeffry W Sorrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598949083 PECOS PAC ID: 7416080098 Enrollment ID: I20100803000698 |
| Provider Name | Adi Klein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912929423 PECOS PAC ID: 1254337454 Enrollment ID: I20100803001129 |
| Provider Name | Mario Ruiz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841281177 PECOS PAC ID: 4284622267 Enrollment ID: I20100807000035 |
| Provider Name | Latwanya J Traylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093955536 PECOS PAC ID: 6204951015 Enrollment ID: I20100916001319 |
| Provider Name | Arsen M Zacharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802833 PECOS PAC ID: 9638362841 Enrollment ID: I20101020000999 |
| Provider Name | Sreevani Gudiseva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851551741 PECOS PAC ID: 8820282874 Enrollment ID: I20101103000711 |
| Provider Name | Shemsu Balker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871545293 PECOS PAC ID: 6709897028 Enrollment ID: I20101115000664 |
| Provider Name | Mihaela Perijoc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811933302 PECOS PAC ID: 0648211169 Enrollment ID: I20101129000356 |
| Provider Name | Muhammad Moin Farooqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093896938 PECOS PAC ID: 7416030549 Enrollment ID: I20101215001190 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Salman S Butt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760664585 PECOS PAC ID: 4486843315 Enrollment ID: I20110107000738 |
| Provider Name | Nicola Harchut |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1548412612 PECOS PAC ID: 8325237886 Enrollment ID: I20110113001182 |
| Provider Name | Tapati Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609038801 PECOS PAC ID: 4789863739 Enrollment ID: I20110124000895 |
| Provider Name | Angela K Case-sutphen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386849677 PECOS PAC ID: 7719168814 Enrollment ID: I20110223000141 |
| Provider Name | Dongxu Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538353149 PECOS PAC ID: 4082896345 Enrollment ID: I20110308000107 |
| Provider Name | Qin Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720271489 PECOS PAC ID: 1557543360 Enrollment ID: I20110315000343 |
| Provider Name | Vamsi K Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669795506 PECOS PAC ID: 6608059670 Enrollment ID: I20110329000526 |
| Provider Name | Jane Nahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902943111 PECOS PAC ID: 5890886931 Enrollment ID: I20110428000507 |
| Provider Name | In Seok Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255428553 PECOS PAC ID: 5193901155 Enrollment ID: I20110510000113 |
| Provider Name | Gonzalo Huaman-vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497918155 PECOS PAC ID: 4981880846 Enrollment ID: I20110511000328 |
| Provider Name | Muhammad H Hassanein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528146024 PECOS PAC ID: 1355342783 Enrollment ID: I20110531000362 |
| Provider Name | Sergio Andres Villegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811157571 PECOS PAC ID: 9234307117 Enrollment ID: I20110720000233 |
| Provider Name | Sona R Nambiar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083892434 PECOS PAC ID: 9830261551 Enrollment ID: I20110726000039 |
| Provider Name | Nancy Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831409804 PECOS PAC ID: 6406025527 Enrollment ID: I20110808000027 |
| Provider Name | John Michael Higginbotham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790930899 PECOS PAC ID: 0446429013 Enrollment ID: I20110816000765 |
| Provider Name | Christina E Seeley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285806448 PECOS PAC ID: 7012186554 Enrollment ID: I20110817000801 |
| Provider Name | Asha Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932407350 PECOS PAC ID: 9335310929 Enrollment ID: I20110910002900 |
| Provider Name | Jose Rodrigo Martinez Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710281027 PECOS PAC ID: 5496931560 Enrollment ID: I20110919000488 |
| Provider Name | Yousef Nabil Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699054999 PECOS PAC ID: 9537331277 Enrollment ID: I20110930000537 |
| Provider Name | Swati F D Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902087091 PECOS PAC ID: 0446335566 Enrollment ID: I20111011000085 |
| Provider Name | Stacey Yepes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508147679 PECOS PAC ID: 3779755996 Enrollment ID: I20111012000760 |
| Provider Name | Seema S Bhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306008537 PECOS PAC ID: 7719159722 Enrollment ID: I20111018000374 |
| Provider Name | Monica Bhargava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598709719 PECOS PAC ID: 2365406386 Enrollment ID: I20111025000809 |
| Provider Name | Mohan Ravindra Gadam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356509004 PECOS PAC ID: 2769668573 Enrollment ID: I20111103000633 |
| Provider Name | Jim K Maruthoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437378247 PECOS PAC ID: 4486747797 Enrollment ID: I20111117000564 |
| Provider Name | Johra Nasreen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467629550 PECOS PAC ID: 7719151018 Enrollment ID: I20111123000344 |
| Provider Name | Sumit Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245541770 PECOS PAC ID: 5799959094 Enrollment ID: I20111123000370 |
| Provider Name | Raji Anup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083905616 PECOS PAC ID: 0042484255 Enrollment ID: I20111129000044 |
| Provider Name | David B Blomstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497929236 PECOS PAC ID: 4587831474 Enrollment ID: I20120117000759 |
| Provider Name | Devadatta Sarwate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639327059 PECOS PAC ID: 8224216817 Enrollment ID: I20120130000844 |
| Provider Name | Carlos Palacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871785535 PECOS PAC ID: 8426125576 Enrollment ID: I20120324000106 |
| Provider Name | Farah Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447403563 PECOS PAC ID: 1850551037 Enrollment ID: I20120326000515 |
| Provider Name | Wei Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598915019 PECOS PAC ID: 3971776303 Enrollment ID: I20120411000067 |
| Provider Name | Joseph Mathew Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912290362 PECOS PAC ID: 5193986461 Enrollment ID: I20120412000543 |
| Provider Name | Ranjitha Rishikesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396985180 PECOS PAC ID: 7911168257 Enrollment ID: I20120413000518 |
| Provider Name | Govardhan R Bobbala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659574911 PECOS PAC ID: 8325188048 Enrollment ID: I20120427000298 |
| Provider Name | Balamurali Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831350446 PECOS PAC ID: 1153585054 Enrollment ID: I20120605000439 |
| Provider Name | Steven P Solis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982831665 PECOS PAC ID: 7113182650 Enrollment ID: I20120706000299 |
| Provider Name | Mohammad Farhad Hussain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376737932 PECOS PAC ID: 7517131246 Enrollment ID: I20120803000077 |
| Provider Name | Maqsood A Bhatti |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629084454 PECOS PAC ID: 1254337116 Enrollment ID: I20120807000856 |
| Provider Name | Krystle F Garrett Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457669210 PECOS PAC ID: 5496901977 Enrollment ID: I20120816000346 |
| Provider Name | Tayyab H Malik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073535092 PECOS PAC ID: 8426054511 Enrollment ID: I20120816000605 |
| Provider Name | Lakshmi Karthik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932302544 PECOS PAC ID: 2264590637 Enrollment ID: I20120821000610 |
| Provider Name | Kimberly Ann Mallery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033344692 PECOS PAC ID: 8123275807 Enrollment ID: I20120831000309 |
| Provider Name | Vidya Amaraneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710112370 PECOS PAC ID: 9739337122 Enrollment ID: I20120910000261 |
| Provider Name | Cynthia Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528295284 PECOS PAC ID: 6709034119 Enrollment ID: I20120910000412 |
| Provider Name | Riad Kesiry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891913679 PECOS PAC ID: 3971695081 Enrollment ID: I20120919000226 |
| Provider Name | Amir Akhter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285683466 PECOS PAC ID: 3274532130 Enrollment ID: I20120919000230 |
| Provider Name | Johnita L Darton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306816699 PECOS PAC ID: 3173411634 Enrollment ID: I20120924000312 |
| Provider Name | Mary Ann Apopot |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053662478 PECOS PAC ID: 7315196581 Enrollment ID: I20121003000302 |
| Provider Name | Olutoyin O Abitoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851559595 PECOS PAC ID: 1850467515 Enrollment ID: I20121003000528 |
| Provider Name | Lei Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699986968 PECOS PAC ID: 9739359555 Enrollment ID: I20121011000826 |
| Provider Name | Fidelis Ajobome Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20121011000852 |
| Provider Name | Syed M Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144434010 PECOS PAC ID: 2062593643 Enrollment ID: I20121108000631 |
| Provider Name | Esmeralda Lugo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629203195 PECOS PAC ID: 5890949929 Enrollment ID: I20130125000220 |
| Provider Name | Farrah T Paracha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215267570 PECOS PAC ID: 0840444006 Enrollment ID: I20130218000099 |
| Provider Name | Shyamala Miryala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013019744 PECOS PAC ID: 7012917834 Enrollment ID: I20130304000248 |
| Provider Name | Dhaval D. Satani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316250707 PECOS PAC ID: 3072781327 Enrollment ID: I20130427000121 |
| Provider Name | Abdul Rahiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366618167 PECOS PAC ID: 9234275793 Enrollment ID: I20130711000881 |
| Provider Name | Ramesh Alwarappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932327533 PECOS PAC ID: 7517010879 Enrollment ID: I20130712000352 |
| Provider Name | Susan L Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053624437 PECOS PAC ID: 1759522147 Enrollment ID: I20130727000066 |
| Provider Name | Mehedi Rehmetullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730233974 PECOS PAC ID: 1355448671 Enrollment ID: I20130801000779 |
| Provider Name | Prabhjot K Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467764811 PECOS PAC ID: 3577705235 Enrollment ID: I20130808000234 |
| Provider Name | Prashanth R Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205006590 PECOS PAC ID: 1355409947 Enrollment ID: I20130808000264 |
| Provider Name | John N Melek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316248503 PECOS PAC ID: 7113169814 Enrollment ID: I20130808000624 |
| Provider Name | Khawer Khadimally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811200280 PECOS PAC ID: 2163664863 Enrollment ID: I20130808000690 |
| Provider Name | Benyam G Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154646560 PECOS PAC ID: 9537301197 Enrollment ID: I20130809000529 |
| Provider Name | Asjad M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740302561 PECOS PAC ID: 6204934144 Enrollment ID: I20130813000755 |
| Provider Name | Syed R Sameeruddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740512649 PECOS PAC ID: 5092958090 Enrollment ID: I20130823000155 |
| Provider Name | Bhoomi H Sutaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568712156 PECOS PAC ID: 5294978573 Enrollment ID: I20130905000865 |
| Provider Name | Uchenna Christopher Ozuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578883377 PECOS PAC ID: 9830367432 Enrollment ID: I20130916000294 |
| Provider Name | Musa A Wadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760493001 PECOS PAC ID: 1052415312 Enrollment ID: I20130917000376 |
| Provider Name | Kurtt R Wix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154607604 PECOS PAC ID: 6507000841 Enrollment ID: I20130926000415 |
| Provider Name | Dimple Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003103128 PECOS PAC ID: 8921232828 Enrollment ID: I20131008001796 |
| Provider Name | Rommel J Del Rosario |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467778118 PECOS PAC ID: 1850526252 Enrollment ID: I20131019000005 |
| Provider Name | Fuad A Spath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043527724 PECOS PAC ID: 1153500228 Enrollment ID: I20131030000327 |
| Provider Name | Nadia Nisar Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497066724 PECOS PAC ID: 4183859028 Enrollment ID: I20131030000717 |
| Provider Name | Ukana Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356628812 PECOS PAC ID: 8527293331 Enrollment ID: I20131104000885 |
| Provider Name | Muhammad T Siddique |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265736367 PECOS PAC ID: 9436384195 Enrollment ID: I20131105000914 |
| Provider Name | Ram Padmanabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659508380 PECOS PAC ID: 4183877343 Enrollment ID: I20131121000762 |
| Provider Name | Mandy N Rieck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790002202 PECOS PAC ID: 4486880358 Enrollment ID: I20131123000065 |
| Provider Name | Brenda U Iyamu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215255500 PECOS PAC ID: 1658507421 Enrollment ID: I20131127000030 |
| Provider Name | Krishnakumar R Muthu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407056906 PECOS PAC ID: 7719071182 Enrollment ID: I20131204001742 |
| Provider Name | Nandana Mapakshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710187125 PECOS PAC ID: 3173794658 Enrollment ID: I20140102001581 |
| Provider Name | Marc S Demyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952366684 PECOS PAC ID: 1254460942 Enrollment ID: I20140206000150 |
| Provider Name | Abdul Moneim Saad Hasheesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912199654 PECOS PAC ID: 7911094784 Enrollment ID: I20140327001851 |
| Provider Name | Phillip E Silva |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932424769 PECOS PAC ID: 6002047180 Enrollment ID: I20140403000476 |
| Provider Name | Sofia Gul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346573086 PECOS PAC ID: 3779749171 Enrollment ID: I20140407000883 |
| Provider Name | Rachel S Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073890950 PECOS PAC ID: 6507098480 Enrollment ID: I20140408000284 |
| Provider Name | Neema E George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780006775 PECOS PAC ID: 5799917530 Enrollment ID: I20140410000622 |
| Provider Name | John Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194950766 PECOS PAC ID: 9931364395 Enrollment ID: I20140423002003 |
| Provider Name | Arshad A Quddoos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093714628 PECOS PAC ID: 6002804028 Enrollment ID: I20140424001020 |
| Provider Name | Bhagyalakshmi Arvapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225226491 PECOS PAC ID: 7315034303 Enrollment ID: I20140523000693 |
| Provider Name | Vijaya Kommineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790086106 PECOS PAC ID: 6305069881 Enrollment ID: I20140602001797 |
| Provider Name | Farhan A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275700445 PECOS PAC ID: 0345420113 Enrollment ID: I20140610001311 |
| Provider Name | Babar Zuberi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275532640 PECOS PAC ID: 9335165893 Enrollment ID: I20140626002564 |
| Provider Name | Nadear A Elmahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639278799 PECOS PAC ID: 8426059106 Enrollment ID: I20140718001674 |
| Provider Name | Brandon J Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528316460 PECOS PAC ID: 0042437337 Enrollment ID: I20140811000718 |
| Provider Name | Ashish V Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528389954 PECOS PAC ID: 0042450363 Enrollment ID: I20140820002298 |
| Provider Name | Tilahun Worku Belay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902199250 PECOS PAC ID: 8325287865 Enrollment ID: I20140825002242 |
| Provider Name | Jennifer M Freytag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669887329 PECOS PAC ID: 9537387477 Enrollment ID: I20140905001688 |
| Provider Name | Reesha Mahnoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922399724 PECOS PAC ID: 2062630916 Enrollment ID: I20140905002100 |
| Provider Name | Hernan Zamalloa Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952680282 PECOS PAC ID: 7113146622 Enrollment ID: I20140916001007 |
| Provider Name | Nneka I Nweke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811275233 PECOS PAC ID: 8325267529 Enrollment ID: I20140922000675 |
| Provider Name | Nethra Katikireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942461819 PECOS PAC ID: 8022276930 Enrollment ID: I20141020000186 |
| Provider Name | Iram Naz Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417255613 PECOS PAC ID: 5294956082 Enrollment ID: I20141020002028 |
| Provider Name | Sriranga Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528031416 PECOS PAC ID: 9335212687 Enrollment ID: I20141022002749 |
| Provider Name | Rida Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699074104 PECOS PAC ID: 7618100488 Enrollment ID: I20141103000876 |
| Provider Name | Salma Y Sheikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871992115 PECOS PAC ID: 6901028190 Enrollment ID: I20141103001452 |
| Provider Name | Kishore Elaprolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548296387 PECOS PAC ID: 5496768129 Enrollment ID: I20141111001992 |
| Provider Name | Sylaza Kantamneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720237498 PECOS PAC ID: 3274693874 Enrollment ID: I20141113000395 |
| Provider Name | Gunjan Kant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386959906 PECOS PAC ID: 5890917199 Enrollment ID: I20141120000935 |
| Provider Name | Zulfiqar M Jussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265490544 PECOS PAC ID: 1658455928 Enrollment ID: I20141124001857 |
| Provider Name | Andy T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114204971 PECOS PAC ID: 5597087775 Enrollment ID: I20141124002219 |
| Provider Name | Chantelle P Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114127248 PECOS PAC ID: 5193802247 Enrollment ID: I20141125001951 |
| Provider Name | Michael J Statton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700955192 PECOS PAC ID: 8527206291 Enrollment ID: I20141202000466 |
| Provider Name | Fatima Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093000671 PECOS PAC ID: 0840512869 Enrollment ID: I20141202002075 |
| Provider Name | Jennifer A Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811391493 PECOS PAC ID: 7517289093 Enrollment ID: I20141212000292 |
| Provider Name | Sergio Enrique Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326385311 PECOS PAC ID: 2365764776 Enrollment ID: I20141212001528 |
| Provider Name | Bushra Shoib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366733743 PECOS PAC ID: 6305168790 Enrollment ID: I20141215001820 |
| Provider Name | Fusun Soraya Devose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011508 PECOS PAC ID: 3779806849 Enrollment ID: I20141222000119 |
| Provider Name | Aditi Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285651281 PECOS PAC ID: 3577515915 Enrollment ID: I20141223001102 |
| Provider Name | Nene F Ugochukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437551447 PECOS PAC ID: 9133442106 Enrollment ID: I20141223001602 |
| Provider Name | Sweety J Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972894004 PECOS PAC ID: 9234452228 Enrollment ID: I20141224000094 |
| Provider Name | Shahroz Kidwai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013200062 PECOS PAC ID: 7618193871 Enrollment ID: I20150121000151 |
| Provider Name | Adarsh Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144585043 PECOS PAC ID: 3274755590 Enrollment ID: I20150122000481 |
| Provider Name | Muhammad U Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568485084 PECOS PAC ID: 6204820152 Enrollment ID: I20150122001638 |
| Provider Name | Al-hasan Khaled Al-afghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558618900 PECOS PAC ID: 5395060438 Enrollment ID: I20150211001658 |
| Provider Name | Dhruti B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697385 PECOS PAC ID: 8224355094 Enrollment ID: I20150317000453 |
| Provider Name | Geoffrey W Burnham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336430776 PECOS PAC ID: 9335361773 Enrollment ID: I20150324000918 |
| Provider Name | Vijay S Katari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184734733 PECOS PAC ID: 1951306786 Enrollment ID: I20150410000712 |
| Provider Name | Sylvain Nitcheu Tientcheu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632239 PECOS PAC ID: 8729306733 Enrollment ID: I20150422001623 |
| Provider Name | Barbara Nwamaka Onyia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063754034 PECOS PAC ID: 0042539082 Enrollment ID: I20150424001710 |
| Provider Name | Rommel V Lantajo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437547767 PECOS PAC ID: 1951620624 Enrollment ID: I20150430000818 |
| Provider Name | Sirisha Chunduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497918528 PECOS PAC ID: 6800069360 Enrollment ID: I20150504002267 |
| Provider Name | Paul L. Cespedes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689994956 PECOS PAC ID: 4789829623 Enrollment ID: I20150611001245 |
| Provider Name | Hani A Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386999761 PECOS PAC ID: 7416268974 Enrollment ID: I20150624002511 |
| Provider Name | Babiker Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261619 PECOS PAC ID: 6406167873 Enrollment ID: I20150625002490 |
| Provider Name | Rupali J Prabhukhot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669630265 PECOS PAC ID: 5597931873 Enrollment ID: I20150728003376 |
| Provider Name | Atif Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760770234 PECOS PAC ID: 7416127873 Enrollment ID: I20150812008859 |
| Provider Name | Zahoor Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548548019 PECOS PAC ID: 1658686852 Enrollment ID: I20150818003469 |
| Provider Name | Yvonne Otieno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114295946 PECOS PAC ID: 2264748979 Enrollment ID: I20150826000406 |
| Provider Name | Octavio Aguilera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740664606 PECOS PAC ID: 0345556007 Enrollment ID: I20150826002321 |
| Provider Name | Mehak Nangrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649567660 PECOS PAC ID: 2860403409 Enrollment ID: I20150916000474 |
| Provider Name | Amanda V Jimenez Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518223809 PECOS PAC ID: 3577870831 Enrollment ID: I20150918000674 |
| Provider Name | Cynthia M Kulik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912178567 PECOS PAC ID: 0244548964 Enrollment ID: I20150930000840 |
| Provider Name | Syed Tashin Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477811321 PECOS PAC ID: 6800104274 Enrollment ID: I20151005001300 |
| Provider Name | Muhammad A Kazim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609134550 PECOS PAC ID: 0446569107 Enrollment ID: I20151020000410 |
| Provider Name | Ingrid D Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366794174 PECOS PAC ID: 5294986501 Enrollment ID: I20151021002317 |
| Provider Name | Jyoti Bharti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043538234 PECOS PAC ID: 3779892195 Enrollment ID: I20151024000204 |
| Provider Name | Derry Rajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992010433 PECOS PAC ID: 1254640683 Enrollment ID: I20151026000252 |
| Provider Name | Umer Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421557 PECOS PAC ID: 5395973770 Enrollment ID: I20151030001750 |
| Provider Name | Gregg T Anders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215985361 PECOS PAC ID: 9830409663 Enrollment ID: I20151107000013 |
| Provider Name | Muhammad Abdullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154614832 PECOS PAC ID: 9537302021 Enrollment ID: I20151112000447 |
| Provider Name | Urooj Mansoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396839098 PECOS PAC ID: 6507962966 Enrollment ID: I20151112000533 |
| Provider Name | Apeksha Mall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275820698 PECOS PAC ID: 4981820198 Enrollment ID: I20151116002614 |
| Provider Name | Lauren Britten Fleischer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033473640 PECOS PAC ID: 4082914395 Enrollment ID: I20151118000777 |
| Provider Name | Sujit P Nagarkoti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093965402 PECOS PAC ID: 8022156355 Enrollment ID: I20151229001984 |
| Provider Name | Yen T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356665947 PECOS PAC ID: 2567602394 Enrollment ID: I20160113000214 |
| Provider Name | Santosh K Mupparapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073797973 PECOS PAC ID: 2961575402 Enrollment ID: I20160202001015 |
| Provider Name | Venkata Madhuri Koyya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205027232 PECOS PAC ID: 0042336901 Enrollment ID: I20160208001868 |
| Provider Name | Atish D Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073810990 PECOS PAC ID: 5395979066 Enrollment ID: I20160309000995 |
| Provider Name | Anuja K Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780646646 PECOS PAC ID: 9638161375 Enrollment ID: I20160310000430 |
| Provider Name | Deepti Chitta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265672992 PECOS PAC ID: 7416137385 Enrollment ID: I20160316001409 |
| Provider Name | Manjoo Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003857251 PECOS PAC ID: 7012196280 Enrollment ID: I20160504002274 |
| Provider Name | Thitina Jimma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235496779 PECOS PAC ID: 3375842768 Enrollment ID: I20160506001067 |
| Provider Name | Paul Ngugi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332137 PECOS PAC ID: 9739478876 Enrollment ID: I20160513000076 |
| Provider Name | Rajani Chilakapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457528192 PECOS PAC ID: 5193905602 Enrollment ID: I20160526000481 |
| Provider Name | Samiha Jawed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184887176 PECOS PAC ID: 7618155771 Enrollment ID: I20160610000250 |
| Provider Name | Kaneza W Bgoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922398940 PECOS PAC ID: 1153612783 Enrollment ID: I20160629000071 |
| Provider Name | Idelle Taye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770991648 PECOS PAC ID: 6709188725 Enrollment ID: I20160630001907 |
| Provider Name | Kate Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700024932 PECOS PAC ID: 0446543953 Enrollment ID: I20160721000417 |
| Provider Name | Durga Ram Prasad Tanneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730513789 PECOS PAC ID: 4385937515 Enrollment ID: I20160726002618 |
| Provider Name | Muhammad S Siddiqui |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194011999 PECOS PAC ID: 6305084393 Enrollment ID: I20160818002534 |
| Provider Name | Kelvin D Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518229178 PECOS PAC ID: 3870899768 Enrollment ID: I20160825002780 |
| Provider Name | Leon Siu Tio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952741795 PECOS PAC ID: 1759677271 Enrollment ID: I20160909001480 |
| Provider Name | Dahlia Ferilina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265890636 PECOS PAC ID: 3870889132 Enrollment ID: I20160913000922 |
| Provider Name | Mary Anne Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932456605 PECOS PAC ID: 5193947679 Enrollment ID: I20160923001738 |
| Provider Name | Navnidhi Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427342757 PECOS PAC ID: 8325263718 Enrollment ID: I20160927000230 |
| Provider Name | Alexandra M Villacres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972659555 PECOS PAC ID: 4587710710 Enrollment ID: I20161022000170 |
| Provider Name | Reinaldo Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447700778 PECOS PAC ID: 1951680297 Enrollment ID: I20161109001822 |
| Provider Name | Brian Kristoff Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356747257 PECOS PAC ID: 4486933520 Enrollment ID: I20161114001653 |
| Provider Name | Michael J Caberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932565637 PECOS PAC ID: 7113206095 Enrollment ID: I20161116002549 |
| Provider Name | Bilal Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356661185 PECOS PAC ID: 1557587607 Enrollment ID: I20161207000154 |
| Provider Name | Navaid M Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457796732 PECOS PAC ID: 9537459805 Enrollment ID: I20161213000758 |
| Provider Name | Karyn B Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588112791 PECOS PAC ID: 4385924125 Enrollment ID: I20161213001322 |
| Provider Name | Aimee Bearden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255881827 PECOS PAC ID: 7719268952 Enrollment ID: I20170103000529 |
| Provider Name | Hiba Hammad Al Taq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689932352 PECOS PAC ID: 8921389875 Enrollment ID: I20170109000052 |
| Provider Name | Margaret Eileen Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962954172 PECOS PAC ID: 3779864475 Enrollment ID: I20170111000238 |
| Provider Name | Mona Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134384118 PECOS PAC ID: 2769649730 Enrollment ID: I20170124001041 |
| Provider Name | Elisadel Figueroa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154725273 PECOS PAC ID: 8325321367 Enrollment ID: I20170216002245 |
| Provider Name | Miten Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750587580 PECOS PAC ID: 4981728003 Enrollment ID: I20170328002227 |
| Provider Name | Theresa D Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583642 PECOS PAC ID: 7113202367 Enrollment ID: I20170330000901 |
| Provider Name | Emilia Enow Arrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427439884 PECOS PAC ID: 8820365117 Enrollment ID: I20170516002024 |
| Provider Name | Beezer W Moolji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518947258 PECOS PAC ID: 2860637154 Enrollment ID: I20170518002450 |
| Provider Name | Nitendra P Agarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497998348 PECOS PAC ID: 9931355823 Enrollment ID: I20170626000335 |
| Provider Name | David M Rothrock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629489067 PECOS PAC ID: 9537459821 Enrollment ID: I20170703000282 |
| Provider Name | Kavitha Mamindla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538309794 PECOS PAC ID: 8325214406 Enrollment ID: I20170706001442 |
| Provider Name | Shoaib Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033653654 PECOS PAC ID: 3173892197 Enrollment ID: I20170707001091 |
| Provider Name | Patrick Ndoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881129518 PECOS PAC ID: 8921377680 Enrollment ID: I20170712000837 |
| Provider Name | Dana C Ciobanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003186644 PECOS PAC ID: 4880812031 Enrollment ID: I20170717002943 |
| Provider Name | Maytham Al-kubaisi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154617355 PECOS PAC ID: 0547560526 Enrollment ID: I20170717002972 |
| Provider Name | Kimberly A Nkemakolam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437578630 PECOS PAC ID: 2466724091 Enrollment ID: I20170817000105 |
| Provider Name | Nadine N Udom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063941060 PECOS PAC ID: 0244502599 Enrollment ID: I20170821002548 |
| Provider Name | Sushanta K Goswami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366548547 PECOS PAC ID: 1254229065 Enrollment ID: I20170919001260 |
| Provider Name | Sathish Karmegam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528268331 PECOS PAC ID: 3577689470 Enrollment ID: I20170923000134 |
| Provider Name | Teena Mathew |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568723542 PECOS PAC ID: 4385896968 Enrollment ID: I20170926001009 |
| Provider Name | Binta J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063827079 PECOS PAC ID: 4183927098 Enrollment ID: I20170926003127 |
| Provider Name | Victoria M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972051753 PECOS PAC ID: 6305126293 Enrollment ID: I20171002000871 |
| Provider Name | Hiram K Ndungu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649675315 PECOS PAC ID: 4981979762 Enrollment ID: I20171004001146 |
| Provider Name | Lavanya Vuppu Panghat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730435132 PECOS PAC ID: 4688898232 Enrollment ID: I20171010001654 |
| Provider Name | Roberta L Vickery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619297348 PECOS PAC ID: 0446376552 Enrollment ID: I20171017001295 |
| Provider Name | Rajender Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659687788 PECOS PAC ID: 8224270939 Enrollment ID: I20171019002975 |
| Provider Name | Roopesh K Nahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093058802 PECOS PAC ID: 0143511840 Enrollment ID: I20171023002907 |
| Provider Name | Kusuma Kurmayagari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619317047 PECOS PAC ID: 3476829896 Enrollment ID: I20171030001419 |
| Provider Name | Kehinde B Osunkunle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376734525 PECOS PAC ID: 3375697709 Enrollment ID: I20171201000765 |
| Provider Name | Esther M Mwaura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538683230 PECOS PAC ID: 5092072819 Enrollment ID: I20171204002911 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20171205001286 |
| Provider Name | Claudia Berenice Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780198077 PECOS PAC ID: 6305103953 Enrollment ID: I20171206002889 |
| Provider Name | Clarice C Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193839 PECOS PAC ID: 8325306624 Enrollment ID: I20171214000814 |
| Provider Name | Elise M Johannesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316383656 PECOS PAC ID: 1254659832 Enrollment ID: I20171226001388 |
| Provider Name | Kylie Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720509508 PECOS PAC ID: 1456619238 Enrollment ID: I20171228000376 |
| Provider Name | Joseph H Flaherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710995568 PECOS PAC ID: 7911041892 Enrollment ID: I20180123003116 |
| Provider Name | Diane L Kwon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316352842 PECOS PAC ID: 2668748112 Enrollment ID: I20180205002034 |
| Provider Name | Sarah Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821490160 PECOS PAC ID: 7113224957 Enrollment ID: I20180207002822 |
| Provider Name | Ruth Osei Fordjour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003072695 PECOS PAC ID: 5193859189 Enrollment ID: I20180208000033 |
| Provider Name | Rima H Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821274143 PECOS PAC ID: 9436419223 Enrollment ID: I20180216001690 |
| Provider Name | Yu Ting |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932441698 PECOS PAC ID: 7012278799 Enrollment ID: I20180220001479 |
| Provider Name | Ashok K Malhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053657783 PECOS PAC ID: 3173767316 Enrollment ID: I20180223001235 |
| Provider Name | Miriam C Banarer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669573002 PECOS PAC ID: 4385613348 Enrollment ID: I20180226000233 |
| Provider Name | Courtney S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811495062 PECOS PAC ID: 0042571093 Enrollment ID: I20180308000146 |
| Provider Name | George A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760903199 PECOS PAC ID: 7618239930 Enrollment ID: I20180327001274 |
| Provider Name | Edralin Emily Gorospe-yadao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083126668 PECOS PAC ID: 5294097432 Enrollment ID: I20180327003108 |
| Provider Name | Omurkan Mira Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676838 PECOS PAC ID: 1153683289 Enrollment ID: I20180329000699 |
| Provider Name | Connie Cortina Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386156776 PECOS PAC ID: 6901169978 Enrollment ID: I20180405000526 |
| Provider Name | Saquib Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093789539 PECOS PAC ID: 6305908021 Enrollment ID: I20180412001863 |
| Provider Name | Saad Yousuf Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457607947 PECOS PAC ID: 6507171535 Enrollment ID: I20180510001215 |
| Provider Name | Neel M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669859237 PECOS PAC ID: 8325303407 Enrollment ID: I20180518001243 |
| Provider Name | Rahul Velaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366673279 PECOS PAC ID: 8527253996 Enrollment ID: I20180525000476 |
| Provider Name | Edith Ngenue Kake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639612328 PECOS PAC ID: 0244595908 Enrollment ID: I20180530000328 |
| Provider Name | Farah Farah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720405038 PECOS PAC ID: 2668781493 Enrollment ID: I20180705001484 |
| Provider Name | Ramachander R Eluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790036770 PECOS PAC ID: 8921319849 Enrollment ID: I20180709000498 |
| Provider Name | Vineeth Viswanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225410863 PECOS PAC ID: 0244586980 Enrollment ID: I20180710003227 |
| Provider Name | Soham Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720493943 PECOS PAC ID: 3971725987 Enrollment ID: I20180719002445 |
| Provider Name | Neil Vito Loma Dolotina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114429982 PECOS PAC ID: 3274881701 Enrollment ID: I20180731002752 |
| Provider Name | Asma Hasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801041207 PECOS PAC ID: 2466623129 Enrollment ID: I20180801002281 |
| Provider Name | Tracey Michele Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346751054 PECOS PAC ID: 8628326964 Enrollment ID: I20180802003644 |
| Provider Name | Serena Stansbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245716174 PECOS PAC ID: 5193073336 Enrollment ID: I20180806000854 |
| Provider Name | Jason A Pickney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942748678 PECOS PAC ID: 5193073260 Enrollment ID: I20180806002239 |
| Provider Name | Felix Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184011751 PECOS PAC ID: 9032418009 Enrollment ID: I20180815001225 |
| Provider Name | Blake D Hatfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811382062 PECOS PAC ID: 4587957071 Enrollment ID: I20180822001703 |
| Provider Name | Maruf A Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104258979 PECOS PAC ID: 4284864497 Enrollment ID: I20180823001098 |
| Provider Name | Preethi Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407048358 PECOS PAC ID: 3870774524 Enrollment ID: I20180829003024 |
| Provider Name | Mutaz A Elmahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760680946 PECOS PAC ID: 7113113986 Enrollment ID: I20180830003615 |
| Provider Name | Ashley Nicole Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639661820 PECOS PAC ID: 5890045819 Enrollment ID: I20180912000761 |
| Provider Name | Patrick T Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158183 PECOS PAC ID: 7214154319 Enrollment ID: I20180927002510 |
| Provider Name | Deepthi Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780998344 PECOS PAC ID: 5890920920 Enrollment ID: I20180928000966 |
| Provider Name | Aimel Azizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144480997 PECOS PAC ID: 0345423158 Enrollment ID: I20181004000719 |
| Provider Name | Aneel Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568846640 PECOS PAC ID: 5496051567 Enrollment ID: I20181004002645 |
| Provider Name | Lyzete A. Talla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982837811 PECOS PAC ID: 2769734938 Enrollment ID: I20181016003933 |
| Provider Name | Nida Mateen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366711962 PECOS PAC ID: 6204083249 Enrollment ID: I20181022001242 |
| Provider Name | Ugochukwu Maduforo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447630033 PECOS PAC ID: 1850690967 Enrollment ID: I20181031002970 |
| Provider Name | Ehiozogie Adu Osayimwen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477937431 PECOS PAC ID: 3870847643 Enrollment ID: I20181114000460 |
| Provider Name | Loren M Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053891986 PECOS PAC ID: 4082958657 Enrollment ID: I20181208000039 |
| Provider Name | Jared Mcfarlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437579455 PECOS PAC ID: 9335447556 Enrollment ID: I20190109003284 |
| Provider Name | Sarah Deland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659752665 PECOS PAC ID: 9638482615 Enrollment ID: I20190122000763 |
| Provider Name | Simeon M Ngishu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629540497 PECOS PAC ID: 4183886740 Enrollment ID: I20190128002353 |
| Provider Name | Renea Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447611603 PECOS PAC ID: 5698058477 Enrollment ID: I20190205002976 |
| Provider Name | Onaopemipo Ajiboye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801155593 PECOS PAC ID: 9436468188 Enrollment ID: I20190329001101 |
| Provider Name | Courtney Ehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619457140 PECOS PAC ID: 6103167093 Enrollment ID: I20190402001598 |
| Provider Name | Bessy E George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659639748 PECOS PAC ID: 1052600715 Enrollment ID: I20190604003081 |
| Provider Name | Nirmit D Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053637272 PECOS PAC ID: 9032345657 Enrollment ID: I20190605000150 |
| Provider Name | Sadia Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093968729 PECOS PAC ID: 1052551595 Enrollment ID: I20190611001890 |
| Provider Name | Aqsa Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750359584 PECOS PAC ID: 4284648593 Enrollment ID: I20190617002603 |
| Provider Name | Hema P Bohra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083078216 PECOS PAC ID: 2163713017 Enrollment ID: I20190711000865 |
| Provider Name | Shikar Rajkumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205285053 PECOS PAC ID: 4183959208 Enrollment ID: I20190711002774 |
| Provider Name | Marilyn Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942867171 PECOS PAC ID: 2264767243 Enrollment ID: I20190712001716 |
| Provider Name | Shaista S Walji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770938573 PECOS PAC ID: 1254666241 Enrollment ID: I20190712002103 |
| Provider Name | Yi Xiong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538513866 PECOS PAC ID: 6103151030 Enrollment ID: I20190715000797 |
| Provider Name | Remina Panjwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972967289 PECOS PAC ID: 5294024436 Enrollment ID: I20190716003328 |
| Provider Name | Marybelle Ramos Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932646098 PECOS PAC ID: 6800121500 Enrollment ID: I20190717003776 |
| Provider Name | Amalia Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811345127 PECOS PAC ID: 4082940879 Enrollment ID: I20190801000250 |
| Provider Name | Adeel Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134580350 PECOS PAC ID: 3577853811 Enrollment ID: I20190808000147 |
| Provider Name | Reham Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932558723 PECOS PAC ID: 5193017820 Enrollment ID: I20190817000036 |
| Provider Name | Francisca Ruswayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114485661 PECOS PAC ID: 9537497805 Enrollment ID: I20190823002195 |
| Provider Name | Elizabeth Tu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023463379 PECOS PAC ID: 3577857580 Enrollment ID: I20190904001092 |
| Provider Name | Dawn P Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053525600 PECOS PAC ID: 9739245911 Enrollment ID: I20190911000404 |
| Provider Name | Soumya Mamidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477900496 PECOS PAC ID: 3678810462 Enrollment ID: I20190918002149 |
| Provider Name | Huyen Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215387881 PECOS PAC ID: 5799077863 Enrollment ID: I20191011000526 |
| Provider Name | Meron Kiros Weldeab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649545583 PECOS PAC ID: 2567784051 Enrollment ID: I20191023001808 |
| Provider Name | Bishwas Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720394992 PECOS PAC ID: 1850528720 Enrollment ID: I20191024003439 |
| Provider Name | Belinda Benavidez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346899879 PECOS PAC ID: 3274865936 Enrollment ID: I20191029003147 |
| Provider Name | Violet Luvembe Okilwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215588488 PECOS PAC ID: 4183956600 Enrollment ID: I20191101000252 |
| Provider Name | Heather Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710338272 PECOS PAC ID: 0840586699 Enrollment ID: I20191105002289 |
| Provider Name | Deepa R Ghale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823475 PECOS PAC ID: 0648603258 Enrollment ID: I20191211002481 |
| Provider Name | Asif Iqbal Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043604309 PECOS PAC ID: 1557613809 Enrollment ID: I20191212001172 |
| Provider Name | Gillian Bruno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023053899 PECOS PAC ID: 5698722627 Enrollment ID: I20200124001749 |
| Provider Name | Purnachanander R Sirikonda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629219407 PECOS PAC ID: 8729000252 Enrollment ID: I20200310002636 |
| Provider Name | Jill Steinbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205474582 PECOS PAC ID: 7517396856 Enrollment ID: I20200407002704 |
| Provider Name | David Short |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730543547 PECOS PAC ID: 4688960305 Enrollment ID: I20200518001945 |
| Provider Name | Eugieneo G Kandoth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700319183 PECOS PAC ID: 9830438159 Enrollment ID: I20200610003293 |
| Provider Name | Judith Aniekwena |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164954640 PECOS PAC ID: 4688097637 Enrollment ID: I20200708003860 |
| Provider Name | Marcie L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871135301 PECOS PAC ID: 3476976119 Enrollment ID: I20200714000355 |
| Provider Name | Muhammad Umar Azeem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285037994 PECOS PAC ID: 6103126834 Enrollment ID: I20200731001119 |
| Provider Name | Philip M Sinnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790213718 PECOS PAC ID: 7911270392 Enrollment ID: I20200813002566 |
| Provider Name | Ira John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114535549 PECOS PAC ID: 2961828173 Enrollment ID: I20200819000662 |
| Provider Name | Kurtis G Kostan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134516172 PECOS PAC ID: 2860791886 Enrollment ID: I20200821000478 |
| Provider Name | Michael Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598393712 PECOS PAC ID: 3870910045 Enrollment ID: I20200902001791 |
| Provider Name | Amnah Andrabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972054641 PECOS PAC ID: 1456779115 Enrollment ID: I20200911001004 |
| Provider Name | Edwin Gabriel Otero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740704303 PECOS PAC ID: 4789002163 Enrollment ID: I20200916003231 |
| Provider Name | Chandrasekhar Nandipaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700316262 PECOS PAC ID: 6204107782 Enrollment ID: I20200929000846 |
| Provider Name | Madiha Khurshid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467998047 PECOS PAC ID: 0547597403 Enrollment ID: I20201008000152 |
| Provider Name | Parham Bahador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518352954 PECOS PAC ID: 7618271198 Enrollment ID: I20201012000487 |
| Provider Name | Olaronke Latunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811359490 PECOS PAC ID: 1052640117 Enrollment ID: I20201021001936 |
| Provider Name | Bao Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497134696 PECOS PAC ID: 4183914559 Enrollment ID: I20201028000454 |
| Provider Name | Komali Kanagala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083169460 PECOS PAC ID: 6204246440 Enrollment ID: I20201029001559 |
| Provider Name | Agnes I Asamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336618511 PECOS PAC ID: 3971840646 Enrollment ID: I20201118001239 |
| Provider Name | Sadia Ghias Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578095121 PECOS PAC ID: 5294073631 Enrollment ID: I20201130002227 |
| Provider Name | Mohsin A Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821393562 PECOS PAC ID: 0143482745 Enrollment ID: I20201228001266 |
| Provider Name | Arunalatha Vommi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942514021 PECOS PAC ID: 3375786239 Enrollment ID: I20210111002364 |
| Provider Name | Walter Mitini Etoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851945687 PECOS PAC ID: 2961732508 Enrollment ID: I20210317000673 |
| Provider Name | Eyob Melesse Tafessu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447787312 PECOS PAC ID: 7618241399 Enrollment ID: I20210330001056 |
| Provider Name | Niral Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912361056 PECOS PAC ID: 1254624836 Enrollment ID: I20210421000892 |
| Provider Name | Abdulhamid Firas Al-douri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093205197 PECOS PAC ID: 5890104624 Enrollment ID: I20210507001985 |
| Provider Name | Sefanit Gebretsadik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770825861 PECOS PAC ID: 3577706944 Enrollment ID: I20210513000564 |
| Provider Name | King K Emmanuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629571492 PECOS PAC ID: 4981013372 Enrollment ID: I20210517000212 |
| Provider Name | Evelyne Nyambeki Ongwae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376129361 PECOS PAC ID: 2961801592 Enrollment ID: I20210601001867 |
| Provider Name | Nirali Vassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992293963 PECOS PAC ID: 3577963677 Enrollment ID: I20210610002782 |
| Provider Name | Dieter Tetatah Wefuan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073834917 PECOS PAC ID: 5193048429 Enrollment ID: I20210611001332 |
| Provider Name | Janame J Kottey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003130618 PECOS PAC ID: 5294958526 Enrollment ID: I20210623001315 |
| Provider Name | Ali Ridha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336589167 PECOS PAC ID: 1456630292 Enrollment ID: I20210623002394 |
| Provider Name | Micheal Ogorchukwu Anyirah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184112724 PECOS PAC ID: 6709287923 Enrollment ID: I20210625001014 |
| Provider Name | Philip John Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538665625 PECOS PAC ID: 6901207000 Enrollment ID: I20210628000686 |
| Provider Name | Benjamin Robert Collen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588084701 PECOS PAC ID: 8729351135 Enrollment ID: I20210707000061 |
| Provider Name | Jacob Westbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760989024 PECOS PAC ID: 8325440423 Enrollment ID: I20210713000380 |
| Provider Name | Hamza Muhammad Tola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818342 PECOS PAC ID: 6406259373 Enrollment ID: I20210729002252 |
| Provider Name | Veeranna S Vibhuti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457536799 PECOS PAC ID: 3476679663 Enrollment ID: I20210729002990 |
| Provider Name | Eunice S Kaitei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568036598 PECOS PAC ID: 8921401951 Enrollment ID: I20210730000246 |
| Provider Name | Thien M Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982192852 PECOS PAC ID: 7810391695 Enrollment ID: I20210802003643 |
| Provider Name | Ifeoma Nneka Mozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003446451 PECOS PAC ID: 5092126987 Enrollment ID: I20210805003229 |
| Provider Name | Sheralyn S East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831862051 PECOS PAC ID: 5294130837 Enrollment ID: I20210820000443 |
| Provider Name | Lovin Pappy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457705832 PECOS PAC ID: 3173851128 Enrollment ID: I20210825001661 |
| Provider Name | Mustafa M Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811519440 PECOS PAC ID: 5698190619 Enrollment ID: I20210826001451 |
| Provider Name | Rory Carrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710279922 PECOS PAC ID: 7517191612 Enrollment ID: I20210830001661 |
| Provider Name | Amy M Sprague |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20210901004306 |
| Provider Name | Qaisar Alshebani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073010724 PECOS PAC ID: 0244636033 Enrollment ID: I20210902000119 |
| Provider Name | Ana Gubeladze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912430554 PECOS PAC ID: 7113349218 Enrollment ID: I20210910002063 |
| Provider Name | Selim S Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508805813 PECOS PAC ID: 0547168726 Enrollment ID: I20210916000393 |
| Provider Name | Bennett W Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417319898 PECOS PAC ID: 6305132903 Enrollment ID: I20210917002840 |
| Provider Name | Kalee Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093276891 PECOS PAC ID: 7810394392 Enrollment ID: I20210927000839 |
| Provider Name | Tanzila Kausar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891386579 PECOS PAC ID: 3577961986 Enrollment ID: I20211014001663 |
| Provider Name | Haitham Elbhloul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619265337 PECOS PAC ID: 0941422471 Enrollment ID: I20211018002717 |
| Provider Name | Ivy Puente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962174300 PECOS PAC ID: 9638567548 Enrollment ID: I20211026002814 |
| Provider Name | Okechukwu Okeke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083918163 PECOS PAC ID: 6800103722 Enrollment ID: I20211029000457 |
| Provider Name | Kim Shawn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356018766 PECOS PAC ID: 8224427455 Enrollment ID: I20211110000042 |
| Provider Name | Jennifer D Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053924407 PECOS PAC ID: 7911396148 Enrollment ID: I20211110000204 |
| Provider Name | Parth Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457779407 PECOS PAC ID: 9032337852 Enrollment ID: I20211112000347 |
| Provider Name | Hind I Elsaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487842126 PECOS PAC ID: 4981791282 Enrollment ID: I20211123000548 |
| Provider Name | Megan Isakson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093486961 PECOS PAC ID: 7911397336 Enrollment ID: I20211129001575 |
| Provider Name | Cynthia Roli Oputa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922675487 PECOS PAC ID: 7416347406 Enrollment ID: I20211207000083 |
| Provider Name | Taha Jejin Melchor Nonog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720684376 PECOS PAC ID: 0941612014 Enrollment ID: I20211209001479 |
| Provider Name | Paula G Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619561396 PECOS PAC ID: 3274923917 Enrollment ID: I20211210002458 |
| Provider Name | David Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775947 PECOS PAC ID: 6406247865 Enrollment ID: I20211220002338 |
| Provider Name | Oluwaseyi Segun Balasire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003235243 PECOS PAC ID: 5799045316 Enrollment ID: I20211222000859 |
| Provider Name | Asaad George Ishak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700374733 PECOS PAC ID: 7810389335 Enrollment ID: I20220113000692 |
| Provider Name | Tatiana Denega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124439864 PECOS PAC ID: 5395044317 Enrollment ID: I20220119001641 |
| Provider Name | Clarence B Steels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871858985 PECOS PAC ID: 2062446198 Enrollment ID: I20220128002112 |
| Provider Name | Jennifer Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528697323 PECOS PAC ID: 6103219464 Enrollment ID: I20220209000589 |
| Provider Name | Angie Marie Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043976491 PECOS PAC ID: 3971996869 Enrollment ID: I20220217001935 |
| Provider Name | Donna Thornley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164857264 PECOS PAC ID: 2769876598 Enrollment ID: I20220222000060 |
| Provider Name | Rabeea Khalid Choudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629228739 PECOS PAC ID: 8123269032 Enrollment ID: I20220222002468 |
| Provider Name | Stephanie Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124596614 PECOS PAC ID: 5294129524 Enrollment ID: I20220328002432 |
| Provider Name | Juliana M Cackovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609339316 PECOS PAC ID: 3678969755 Enrollment ID: I20220330001543 |
| Provider Name | Loutfi Sakkal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760962740 PECOS PAC ID: 6305198102 Enrollment ID: I20220411000941 |
| Provider Name | Karan Khosla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992228670 PECOS PAC ID: 4486078250 Enrollment ID: I20220412000754 |
| Provider Name | Sifau Oladipo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336675123 PECOS PAC ID: 9739454497 Enrollment ID: I20220412002898 |
| Provider Name | Bhavin G Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467913673 PECOS PAC ID: 2264819200 Enrollment ID: I20220513001014 |
| Provider Name | Tia Heng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912317579 PECOS PAC ID: 3870712912 Enrollment ID: I20220531000705 |
| Provider Name | Alvaro Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588127989 PECOS PAC ID: 6204178684 Enrollment ID: I20220603000065 |
| Provider Name | Rebecca S Palmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609434729 PECOS PAC ID: 2567840366 Enrollment ID: I20220607002779 |
| Provider Name | Queenie Tien Duong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144782046 PECOS PAC ID: 9133508617 Enrollment ID: I20220614002737 |
| Provider Name | Chanelle Injeh Kunseh Fombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851968614 PECOS PAC ID: 8820491004 Enrollment ID: I20220623003002 |
| Provider Name | Joshua David Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922661479 PECOS PAC ID: 3971984519 Enrollment ID: I20220714000216 |
| Provider Name | Nethuja Salagundla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508240722 PECOS PAC ID: 6103124508 Enrollment ID: I20220722002782 |
| Provider Name | Bhanu Kiran Pisini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417262320 PECOS PAC ID: 8224201066 Enrollment ID: I20220725001786 |
| Provider Name | Sarah L Cameron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376994194 PECOS PAC ID: 6002101383 Enrollment ID: I20220803003048 |
| Provider Name | Faiza Jamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760942650 PECOS PAC ID: 7719214873 Enrollment ID: I20220808002813 |
| Provider Name | Alexandra Arce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396208005 PECOS PAC ID: 1658606520 Enrollment ID: I20220810001428 |
| Provider Name | Swarna Matsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245548536 PECOS PAC ID: 2961646328 Enrollment ID: I20220915003991 |
| Provider Name | Kashif Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710299623 PECOS PAC ID: 6204020175 Enrollment ID: I20221104000156 |
| Provider Name | Saadia Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215319611 PECOS PAC ID: 5799029377 Enrollment ID: I20221117001575 |
| Provider Name | Crystal Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831820182 PECOS PAC ID: 2860860897 Enrollment ID: I20221123001771 |
| Provider Name | Hazel Violan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184355034 PECOS PAC ID: 9638547284 Enrollment ID: I20221201002527 |
| Provider Name | Youssef Abdelmalek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639553233 PECOS PAC ID: 3779827555 Enrollment ID: I20221202001319 |
| Provider Name | Ramesh Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952510091 PECOS PAC ID: 4981790714 Enrollment ID: I20221208000161 |
| Provider Name | Hafsa Hafeez Syeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992267850 PECOS PAC ID: 3173993557 Enrollment ID: I20221229000312 |
| Provider Name | Ugochi Azubuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447746938 PECOS PAC ID: 8224438932 Enrollment ID: I20230103000519 |
| Provider Name | Shweta B Murthi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134482896 PECOS PAC ID: 4587034418 Enrollment ID: I20230110001488 |
| Provider Name | Thaonguyen Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679299937 PECOS PAC ID: 6709257272 Enrollment ID: I20230123002945 |
| Provider Name | Rachael M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578277943 PECOS PAC ID: 7315318425 Enrollment ID: I20230128000365 |
| Provider Name | Woodroe Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336797257 PECOS PAC ID: 6709258429 Enrollment ID: I20230207000336 |
| Provider Name | Viki Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720485279 PECOS PAC ID: 0840556825 Enrollment ID: I20230222002508 |
| Provider Name | Cho Cho Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427698414 PECOS PAC ID: 2163896176 Enrollment ID: I20230314002341 |
| Provider Name | Phaphone Chanthachone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013626100 PECOS PAC ID: 1456725233 Enrollment ID: I20230317000358 |
| Provider Name | Catherine Young Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497214258 PECOS PAC ID: 0547591315 Enrollment ID: I20230328003135 |
| Provider Name | Nancy C Ifemesia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760128359 PECOS PAC ID: 1759755937 Enrollment ID: I20230330001253 |
| Provider Name | Farha Mahvish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164829735 PECOS PAC ID: 1052673878 Enrollment ID: I20230406001334 |
| Provider Name | John Michael Sladic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073132452 PECOS PAC ID: 0345605242 Enrollment ID: I20230428000241 |
| Provider Name | Laura M Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295238012 PECOS PAC ID: 5991178782 Enrollment ID: I20230523003582 |
| Provider Name | Amanda Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427147057 PECOS PAC ID: 1254316839 Enrollment ID: I20230609000119 |
| Provider Name | Atchyuta Vegulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821652421 PECOS PAC ID: 6901264522 Enrollment ID: I20230614000698 |
| Provider Name | Sarah Christine Rohrman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396374567 PECOS PAC ID: 7214359108 Enrollment ID: I20230620001418 |
| Provider Name | Farooque Rao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104514629 PECOS PAC ID: 9032577275 Enrollment ID: I20230621001745 |
| Provider Name | Yugandhara R Devarapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467791160 PECOS PAC ID: 9638306459 Enrollment ID: I20230623001698 |
| Provider Name | Amare T Tena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902346943 PECOS PAC ID: 2961826987 Enrollment ID: I20230713003965 |
| Provider Name | Sadaqat Aleem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649995226 PECOS PAC ID: 7012320666 Enrollment ID: I20230720000611 |
| Provider Name | Ammad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629698444 PECOS PAC ID: 8729448642 Enrollment ID: I20230724001560 |
| Provider Name | Rebecca A Townsend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962502815 PECOS PAC ID: 0143111534 Enrollment ID: I20230803004246 |
| Provider Name | Stephen Aryeetey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912613050 PECOS PAC ID: 8820450828 Enrollment ID: I20230808001668 |
| Provider Name | Zachary B Paras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902427743 PECOS PAC ID: 5496171076 Enrollment ID: I20230808003284 |
| Provider Name | Shanthini Kuduva Rajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609497387 PECOS PAC ID: 6204290992 Enrollment ID: I20230913003798 |
| Provider Name | Abdul R Ftesi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720230410 PECOS PAC ID: 1456522010 Enrollment ID: I20230919003579 |
| Provider Name | Louis Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922635564 PECOS PAC ID: 8729432471 Enrollment ID: I20230928001695 |
| Provider Name | Semhar Isaak Tsegai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770109548 PECOS PAC ID: 8224456132 Enrollment ID: I20231012000129 |
| Provider Name | Sergio A Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548765654 PECOS PAC ID: 2769843697 Enrollment ID: I20231012000207 |
| Provider Name | Solomon O Badejoko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811429012 PECOS PAC ID: 1658616875 Enrollment ID: I20231016000565 |
| Provider Name | Salve C Tawaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497532782 PECOS PAC ID: 0941656995 Enrollment ID: I20231026002693 |
| Provider Name | Rizwan Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467854992 PECOS PAC ID: 8123393287 Enrollment ID: I20231026004445 |
| Provider Name | Noman A Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114361508 PECOS PAC ID: 1052552007 Enrollment ID: I20231031001705 |
| Provider Name | Miguel Antonio Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629853981 PECOS PAC ID: 1355798851 Enrollment ID: I20231106000341 |
| Provider Name | Khawaja Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073527339 PECOS PAC ID: 4789650839 Enrollment ID: I20240104001739 |
| Provider Name | Emill Levasseur-sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053745703 PECOS PAC ID: 5698060135 Enrollment ID: I20240206003428 |
| Provider Name | Alexandria P Goyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730716168 PECOS PAC ID: 9830514637 Enrollment ID: I20240506004152 |
| Provider Name | Su Min Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093343642 PECOS PAC ID: 6002358389 Enrollment ID: I20240603002829 |
| Provider Name | Iqtidar Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193687 PECOS PAC ID: 9032197801 Enrollment ID: I20240614000697 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |