| Dr Ivan Stephen Lowenthal, MD | |
| 633 Gov Carlos Camacho Rd., Ste B5, Tamuning, GU 96913-3194 | |
| (671) 647-4656 | |
| (671) 647-4660 | 
| Full Name | Dr Ivan Stephen Lowenthal | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Medical Oncology | 
| Location | 633 Gov Carlos Camacho Rd., Ste B5, Tamuning, Guam | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043245889 | NPI | - | NPPES | 
| 001187897 | Medicaid | CT | |
| 18789 | Other | CT | CT. LICENSE | 
| M-1925 | Other | GU | GUAM LICENSE | 
| 06-1088532 | Other | TAX ID # | |
| 1683 | Other | CT | CT CONTROLLED SUBSTANCE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 18789 (Connecticut) | Secondary | 
| 207RX0202X | Internal Medicine - Medical Oncology | M-1925 (Guam) | Primary | 
| Entity Name | Yale University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 | 
| Entity Name | Yale New Haven Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336139500 PECOS PAC ID: 8325935018 Enrollment ID: O20040227000825 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ivan Stephen Lowenthal, MD 633 Gov Carlos Camacho Rd., Ste B5, Tamuning, GU 96913-3194 Ph: (671) 647-4656 | Dr Ivan Stephen Lowenthal, MD 633 Gov Carlos Camacho Rd., Ste B5, Tamuning, GU 96913-3194 Ph: (671) 647-4656 | 
| Dr. Pablo Soriano Guzman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 543 Guma Yuos St., Tamuning, GU 96913 Phone: 671-646-9696 Fax: 671-649-6601 | |
| Dr. Erika Masuda Alford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1244 N Marine Corps Dr, Tamuning, GU 96913 Phone: 671-647-8262 | |
| Mr. Romeo M Samonte, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1757 Army Dr, Suite 108, Tamuning, GU 96913 Phone: 671-647-4533 Fax: 671-647-1110 | |
| Annakutty Mathew, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Gov. Carlos Camacho Rd., Tamuning, GU 96913 Phone: 671-647-2330 | |
| Dr. Vincent Duenas, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Pale San Vitores Rd Apt 104, Tamuning, GU 96913 Phone: 671-689-4219 | |
| Paul Alfred Muna Aguon, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913 Phone: 671-683-8484 |