Siraj Healthcare Incorporated | |
3876 Turkeyfoot Rd Elsmere KY 41018-2838 | |
(859) 342-4087 | |
Not Available |
Full Name | Siraj Healthcare Incorporated |
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Speciality | Family Medicine |
Location | 3876 Turkeyfoot Rd, Elsmere, Kentucky |
Authorized Official Name and Position | Mohammad Fattal (OWNER) |
Authorized Official Contact | 8593424087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Siraj Healthcare Incorporated Po Box 6716 Florence KY 41022-6716 Ph: (859) 342-4087 | Siraj Healthcare Incorporated 3876 Turkeyfoot Rd Elsmere KY 41018-2838 Ph: (859) 342-4087 |
NPI Number | 1487092334 |
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Provider Enumeration Date | 06/12/2013 |
Last Update Date | 01/08/2024 |
Medicare PECOS PAC ID | 4981846318 |
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Medicare Enrollment ID | O20130814000023 |
Identifier | Type | State | Issuer |
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1487092334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Ahmad Anjak |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033158688 PECOS PAC ID: 0840253977 Enrollment ID: I20050923000766 |
Provider Name | Mohammad Fattal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114194156 PECOS PAC ID: 5193913796 Enrollment ID: I20101227000230 |
Provider Name | Teena Marie Schneider |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144794942 PECOS PAC ID: 5496093031 Enrollment ID: I20191022002122 |
Provider Name | Ashley Nicole Pope |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063047975 PECOS PAC ID: 8224467527 Enrollment ID: I20200408001596 |
Provider Name | Candace C. Mckenna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104852144 PECOS PAC ID: 7719172519 Enrollment ID: I20230329002431 |