| Darshana N Jhala, MD | |
|
3400 Spruce Street, 6 Founders, Philadelphia, PA 19104-4206 | |
| (215) 662-6503 | |
| Not Available |
| Full Name | Darshana N Jhala |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology |
| Location | 3400 Spruce Street, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326075219 | NPI | - | NPPES |
| 051504210 | Medicaid | AL | |
| 000060722 | Medicaid | AL | |
| 010033CH48009 | Other | AL | SECTION 1011 |
| 220031282 | Other | AL | RAILROAD MEDICARE |
| 1595012 | Other | LA | EMERGENCY LA MEDICAID |
| 220028520 | Other | AL | RAILROAD MEDICARE |
| 051504210 | Other | AL | BLUE CROSS |
| 000060722 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 23137 (Alabama) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | MD436178 (Pennsylvania) | Primary |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Darshana N Jhala, MD 3400 Spruce St., Philadelphia, PA 19104-4206 Ph: (215) 662-6503 | Darshana N Jhala, MD 3400 Spruce Street, 6 Founders, Philadelphia, PA 19104-4206 Ph: (215) 662-6503 |
Jason Nathaniel Rosenbaum, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Dr. Vivianna Maia Van Deerlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104 Phone: 215-662-6550 Fax: 215-662-7529 | |
Zissimos Mourelatos, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Mariusz A Wasik, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-728-3675 Fax: 215-728-2848 | |
Adrienne Catharine Carruth Griffin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-4829 | |
Tirumala Lakshmi Kumari Pentakota, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102 Phone: 215-762-1179 | |
Matthew B Palmer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 |