| Synergy Infectious Disease | |
|
1600 W Chandler Blvd Suite 160 Chandler AZ 85224-6153 | |
| (480) 907-6337 | |
| (480) 621-8107 |
| Full Name | Synergy Infectious Disease |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 W Chandler Blvd, Chandler, Arizona |
| Authorized Official Name and Position | Jacob S Oommen (PRESIDENT) |
| Authorized Official Contact | 4809076337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Infectious Disease Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 985-1093 | Synergy Infectious Disease 1600 W Chandler Blvd Suite 160 Chandler AZ 85224-6153 Ph: (480) 907-6337 |
| NPI Number | 1609157197 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 08/29/2011 |
| Medicare PECOS PAC ID | 9830361682 |
|---|---|
| Medicare Enrollment ID | O20111020000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609157197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ramvinay S Seddabattula |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801883640 PECOS PAC ID: 7618902982 Enrollment ID: I20051005000867 |
| Provider Name | Jacob S Oommen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720020431 PECOS PAC ID: 2466455407 Enrollment ID: I20071003000531 |
| Provider Name | Aniket A Vadnerkar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154373793 PECOS PAC ID: 9436173556 Enrollment ID: I20110829000428 |
| Provider Name | Zubair A Qureshi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922234228 PECOS PAC ID: 0547484107 Enrollment ID: I20140623000335 |
| Provider Name | Michael Gehman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912973041 PECOS PAC ID: 8820286222 Enrollment ID: I20150415000967 |
| Provider Name | Gina L Wu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205065927 PECOS PAC ID: 0244523108 Enrollment ID: I20160729001262 |
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