| Tbhc Medical Services, Pc | |
|
121 Dekalb Avenue Brooklyn NY 11201 | |
| (718) 250-8621 | |
| (718) 250-8878 |
| Full Name | Tbhc Medical Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 121 Dekalb Avenue, Brooklyn, New York |
| Authorized Official Name and Position | Vasantha K. Kondamudi (SHAREHOLDER) |
| Authorized Official Contact | 7182508621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tbhc Medical Services, Pc Po Box 13567 Philadelphia PA 19101-3567 Ph: (718) 250-8621 | Tbhc Medical Services, Pc 121 Dekalb Avenue Brooklyn NY 11201 Ph: (718) 250-8621 |
| NPI Number | 1508959743 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 1850281916 |
|---|---|
| Medicare Enrollment ID | O20040319001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508959743 | NPI | - | NPPES |
| 02096871 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Alejandra Uribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578505392 PECOS PAC ID: 3971493156 Enrollment ID: I20040319000654 |
| Provider Name | Chao Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821010653 PECOS PAC ID: 7911987201 Enrollment ID: I20040726000993 |
| Provider Name | Pushplata Siroya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462390 PECOS PAC ID: 1850365883 Enrollment ID: I20040824001324 |
| Provider Name | Jorge R Orellana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346203569 PECOS PAC ID: 8123081965 Enrollment ID: I20041111000729 |
| Provider Name | Lalasa R Valasareddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912936675 PECOS PAC ID: 1850347014 Enrollment ID: I20050330000895 |
| Provider Name | Swaminathan Chennareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508895251 PECOS PAC ID: 0941243653 Enrollment ID: I20050603000550 |
| Provider Name | Sarath Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558334078 PECOS PAC ID: 5698792273 Enrollment ID: I20051102000372 |
| Provider Name | Nitin Barman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730299314 PECOS PAC ID: 1557366499 Enrollment ID: I20060927000189 |
| Provider Name | Ahmar A Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619983871 PECOS PAC ID: 5597856187 Enrollment ID: I20070810000698 |
| Provider Name | Sherly Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801008099 PECOS PAC ID: 6800970815 Enrollment ID: I20080229000361 |
| Provider Name | Joseph Abboud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710168901 PECOS PAC ID: 8022195791 Enrollment ID: I20080404000369 |
| Provider Name | Erik J Altman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740440866 PECOS PAC ID: 5395813745 Enrollment ID: I20081013000041 |
| Provider Name | Virender Hak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558317537 PECOS PAC ID: 9537219464 Enrollment ID: I20090615000260 |
| Provider Name | Claude-henri Jean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710148580 PECOS PAC ID: 7517008683 Enrollment ID: I20100112000196 |
| Provider Name | Victoria Dantchenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811220924 PECOS PAC ID: 8921143215 Enrollment ID: I20100311000504 |
| Provider Name | Cesar E Ayala Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104156728 PECOS PAC ID: 6901095819 Enrollment ID: I20110107000508 |
| Provider Name | Yili Huang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093967184 PECOS PAC ID: 3971780289 Enrollment ID: I20110613000708 |
| Provider Name | Vasantha K Kondamudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144238924 PECOS PAC ID: 9931098498 Enrollment ID: I20111214000947 |
| Provider Name | Chirag I Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750589008 PECOS PAC ID: 4587826748 Enrollment ID: I20120504000048 |
| Provider Name | Dusan Martin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336312131 PECOS PAC ID: 1759539349 Enrollment ID: I20120925000182 |
| Provider Name | Vivian Annan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679817118 PECOS PAC ID: 8628295565 Enrollment ID: I20140815002159 |
| Provider Name | Sungsil Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275949067 PECOS PAC ID: 6608095823 Enrollment ID: I20140919000596 |
| Provider Name | Carine Jean-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912390949 PECOS PAC ID: 8527389055 Enrollment ID: I20150609000684 |
| Provider Name | Haidy Rivero |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346662947 PECOS PAC ID: 9133422025 Enrollment ID: I20160127001280 |
| Provider Name | Walter Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790020345 PECOS PAC ID: 8628298148 Enrollment ID: I20160223002344 |
| Provider Name | Matthew Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104052570 PECOS PAC ID: 6507157344 Enrollment ID: I20160624001328 |
| Provider Name | Nada Al-hashimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538556246 PECOS PAC ID: 1254619000 Enrollment ID: I20161028000980 |
| Provider Name | Keith D Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669760286 PECOS PAC ID: 7214187004 Enrollment ID: I20171213000222 |
| Provider Name | Zhong Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427396894 PECOS PAC ID: 3274859301 Enrollment ID: I20180615001365 |
| Provider Name | Sasha T Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770075160 PECOS PAC ID: 2769734425 Enrollment ID: I20181008000586 |
| Provider Name | Alexis K. Harman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962889899 PECOS PAC ID: 4789928813 Enrollment ID: I20181130001197 |
| Provider Name | Neelima Nadella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043499783 PECOS PAC ID: 6305088394 Enrollment ID: I20190104000775 |
| Provider Name | Arlene Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891277901 PECOS PAC ID: 6608109152 Enrollment ID: I20190614002094 |
| Provider Name | Kevin Tsai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366830689 PECOS PAC ID: 7517239395 Enrollment ID: I20190820002616 |
| Provider Name | Oksana Levieva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932562717 PECOS PAC ID: 6002153251 Enrollment ID: I20191113001715 |
| Provider Name | Monique Cunin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023438520 PECOS PAC ID: 8224383286 Enrollment ID: I20191203001547 |
| Provider Name | Parasuram Melarcode Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023356805 PECOS PAC ID: 4385974153 Enrollment ID: I20200728001988 |
| Provider Name | Sabah Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760809602 PECOS PAC ID: 2163768078 Enrollment ID: I20210614001710 |
| Provider Name | Chantel Amarillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063919199 PECOS PAC ID: 2264779552 Enrollment ID: I20211110002322 |
| Provider Name | Tameca Nichole Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730833435 PECOS PAC ID: 7810376985 Enrollment ID: I20220620001774 |
| Provider Name | Anunziata Gusty Mehu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588160873 PECOS PAC ID: 7911244009 Enrollment ID: I20220920003733 |
| Provider Name | Nazik Al-hashimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467080556 PECOS PAC ID: 5193170454 Enrollment ID: I20231006002221 |
| Provider Name | Jian Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124647557 PECOS PAC ID: 5698121135 Enrollment ID: I20231019002805 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |