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 | |
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 | |
Dr. Doris Po Lim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 Farenholt Avenue, Oka Bldg., Suite 208, Tamuning, GU 96913 Phone: 671-646-8845 Fax: 671-646-8917 |