| Dr Keyur Pradobh Ajbani, MD | |
|
100 Medical Blvd, Canonsburg, PA 15317-9762 | |
| (724) 745-3077 | |
| (724) 746-8579 |
| Full Name | Dr Keyur Pradobh Ajbani |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 Medical Blvd, Canonsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750508297 | NPI | - | NPPES |
| 02907413 | Medicaid | NY | |
| MA079138 | Other | NJ | LICENSE |
| MD430663 | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PS0010X | Emergency Medicine - Sports Medicine | MD430663 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 244821 (New York) | Primary |
| Entity Name | Emergency Physician Services Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keyur Pradobh Ajbani, MD Po Box 11090, Westminster, CA 92685-1090 Ph: (562) 809-3548 | Dr Keyur Pradobh Ajbani, MD 100 Medical Blvd, Canonsburg, PA 15317-9762 Ph: (724) 745-3077 |
Dr. Kimberly Ann Hennon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Blvd, Canonsburg Hospital, Canonsburg, PA 15317 Phone: 724-745-3077 Fax: 724-746-8579 | |
Robert Edward Buckner Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 724-745-3077 Fax: 724-746-8579 | |
Mr. Brett Douglas Foster, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 502-376-6316 | |
Dr. Michael Jonathan Tranovich, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 724-745-6100 |