| Volusia Hospitalist Plc | |
|
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 | |
| (386) 676-0255 | |
| (386) 676-2555 |
| Full Name | Volusia Hospitalist Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Memorial Medical Pkwy, Daytona Beach, Florida |
| Authorized Official Name and Position | Amanda Brooke Davis (ADMINISTRATOR) |
| Authorized Official Contact | 3866760255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Volusia Hospitalist Plc Po Box 282004 Tampa FL 33630-2004 Ph: (386) 676-0255 | Volusia Hospitalist Plc 301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 Ph: (386) 676-0255 |
| NPI Number | 1104864727 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/18/2023 |
| Medicare PECOS PAC ID | 0345253860 |
|---|---|
| Medicare Enrollment ID | O20060907000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104864727 | NPI | - | NPPES |
| 276566700 | Medicaid | FL | |
| 35736 | Other | FL | BLUE CROSS BLUE SHIELD |
| 94174 | Other | FL | BLUE CROSS BLUE SHIELD |
| 94426 | Other | FL | BLUE CROSS BLUE SHIELD |
| 2774554200 | Medicaid | FL | |
| 262576800 | Medicaid | FL | |
| 254097500 | Medicaid | FL | |
| 32081 | Other | FL | BLUE CROSS BLUE SHIELD |
| 007101800 | Medicaid | FL | |
| 009807600 | Medicaid | FL | |
| 14T2L | Other | FL | BLUE CROSS BLUE SHIELD |
| 250751000 | Medicaid | FL | |
| 276082700 | Medicaid | FL | |
| 42358 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kiran Narvin Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255334959 PECOS PAC ID: 9133010457 Enrollment ID: I20040324000506 |
| Provider Name | Abdus S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538163969 PECOS PAC ID: 1456336114 Enrollment ID: I20040621001986 |
| Provider Name | Muhammed Anwer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528015757 PECOS PAC ID: 3577516301 Enrollment ID: I20050223000085 |
| Provider Name | Jawed Panja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609813534 PECOS PAC ID: 0244283034 Enrollment ID: I20050223000367 |
| Provider Name | Mazhar Kayyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053357475 PECOS PAC ID: 1850339888 Enrollment ID: I20050421000034 |
| Provider Name | Shrimani Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956741 PECOS PAC ID: 4688673031 Enrollment ID: I20061212000346 |
| Provider Name | Tarik I Alsharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659476562 PECOS PAC ID: 9739258864 Enrollment ID: I20080515000468 |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20100826000653 |
| Provider Name | Ramin D Bonnet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730258146 PECOS PAC ID: 1951342799 Enrollment ID: I20100828000156 |
| Provider Name | Ariana G Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184988321 PECOS PAC ID: 5496906323 Enrollment ID: I20121127000168 |
| Provider Name | Amna Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902078330 PECOS PAC ID: 2668667288 Enrollment ID: I20131106000466 |
| Provider Name | Laurette Que Cornel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942691373 PECOS PAC ID: 4789900598 Enrollment ID: I20150312002380 |
| Provider Name | Antonio M Portilla Cintron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700204005 PECOS PAC ID: 2466673124 Enrollment ID: I20171010003525 |
| Provider Name | Yarisneisy Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912477472 PECOS PAC ID: 7214360437 Enrollment ID: I20191202001953 |
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