| T E Hilal Md & Raouf Hilal Md & Andria Mushahwar Md | |
|
260 Lookout Pl Ste 201 Maitland FL 32751-4485 | |
| (407) 644-4014 | |
| (407) 644-5270 |
| Full Name | T E Hilal Md & Raouf Hilal Md & Andria Mushahwar Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 260 Lookout Pl, Maitland, Florida |
| Authorized Official Name and Position | Nadia A Hilal (ADMINISTRATOR) |
| Authorized Official Contact | 4076444222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T E Hilal Md & Raouf Hilal Md & Andria Mushahwar Md 260 Lookout Pl Ste 201 Maitland FL 32751-4485 Ph: (407) 644-4014 | T E Hilal Md & Raouf Hilal Md & Andria Mushahwar Md 260 Lookout Pl Ste 201 Maitland FL 32751-4485 Ph: (407) 644-4014 |
| NPI Number | 1811998891 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8426097270 |
|---|---|
| Medicare Enrollment ID | O20050430000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811998891 | NPI | - | NPPES |
| 271940100 | Medicaid | FL | |
| 74539 | Other | FL | BCBS GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Florida) | Primary |
| Provider Name | Raouf E Hilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427161793 PECOS PAC ID: 1153360904 Enrollment ID: I20050503000461 |
| Provider Name | Andria Michael Mushahwar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023110814 PECOS PAC ID: 3173500816 Enrollment ID: I20050929000370 |
| Provider Name | Joseph Quagliata |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750575395 PECOS PAC ID: 5799879672 Enrollment ID: I20070922000259 |
| Provider Name | Ross C Wheeler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316920747 PECOS PAC ID: 3274668256 Enrollment ID: I20100316000801 |
| Provider Name | Ahmad Idris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841386323 PECOS PAC ID: 1951208495 Enrollment ID: I20150114000221 |
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