| Daniel H Libraty, MD | |
| 55 Lake Ave N, Department Of Infectious Disease, Worcester, MA 01655-0002 | |
| (508) 856-4182 | |
| Not Available | 
| Full Name | Daniel H Libraty | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Infectious Disease | 
| Location | 55 Lake Ave N, Worcester, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255314100 | NPI | - | NPPES | 
| 0176541 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 215979 (Massachusetts) | Primary | 
| Entity Name | Telemedicine Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349 | 
| Entity Name | Martin Luther King Jr Community Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Daniel H Libraty, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Daniel H Libraty, MD 55 Lake Ave N, Department Of Infectious Disease, Worcester, MA 01655-0002 Ph: (508) 856-4182 | 
| Dr. Adepeju Gbadebo Champion, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-2731 Fax: 774-442-4672 | |
| Madaiah Lokeshwari, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6849 | |
| Sowmya Korapati,  Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3550 Fax: 774-442-6715 | |
| Dr. Herman Anthony Carneiro, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3452 | |
| Irma Nadeem Hashmi, DO Infectious Disease Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
| Dr. Madhav Sharma, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5438 | |
| Daniel M Steigman, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608 Phone: 508-368-3120 Fax: 508-368-3121 |