Michael Kouyoumdjian, DO | |
1437 Dekalb St, Suite 101, Norristown, PA 19401-3440 | |
(610) 275-7240 | |
(610) 275-1381 |
Full Name | Michael Kouyoumdjian |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1437 Dekalb St, Norristown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316938053 | NPI | - | NPPES |
34238OS012453 | Other | PA | HEALTHPARTNERS |
7904588 | Other | PA | AUSHC PPO |
P3328720 | Other | PA | OXFORD |
30021852 | Other | PA | KMHP |
1012103820001 | Medicaid | PA | |
2307449000 | Other | PA | KEYSTONE HEALTHPLAN EAST |
231396763 | Other | PA | DEVON |
K001631770 | Other | PA | HIGHMARK BLUE SHIELD |
0299820 | Other | PA | CIGNA |
3618677 | Other | PA | AUSHC HMO |
231396763 | Other | PA | UHC |
01 01847 | Other | PA | EVERCARE |
11460 | Other | PA | ELDERHEALTH |
231396763005 | Other | PA | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS012453 (Pennsylvania) | Primary |
Entity Name | Suburban Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20151026000795 |
Mailing Address | Practice Location Address |
---|---|
Michael Kouyoumdjian, DO 1 W Elm St, Suite 100, Conshohocken, PA 19428-4108 Ph: (610) 567-6967 | Michael Kouyoumdjian, DO 1437 Dekalb St, Suite 101, Norristown, PA 19401-3440 Ph: (610) 275-7240 |
Dr. Ann Marie Carpenter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3001 Kimberly Dr, Norristown, PA 19401 Phone: 215-429-4117 | |
Dr. Mignon Mercado De Leon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Powell St, Suite 409, Norristown, PA 19401 Phone: 610-277-0964 | |
Bryce Eng, Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 Dekalb St, Norristown, PA 19401 Phone: 610-278-7787 | |
Jessica Rose Mayer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 Dekalb Pike Ste 202, Norristown, PA 19401 Phone: 610-275-7240 Fax: 610-275-0633 | |
Joshua S Martin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 Dekalb Pike, Norristown, PA 19401 Phone: 610-278-2000 | |
Mr. Radha Krishna Mahajan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2521 W Main St, Norristown, PA 19403 Phone: 610-539-3221 Fax: 610-539-3222 | |
Dr. Eric Yeh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1437 Dekalb St Ste 201, Norristown, PA 19401 Phone: 610-272-5341 |