| Dr Kiran Shivaraj, | |
|
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | |
| (386) 425-4000 | |
| Not Available |
| Full Name | Dr Kiran Shivaraj |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 303 N Clyde Morris Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205350097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | ME165166 (Florida) | Primary |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kiran Shivaraj, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 425-4000 | Dr Kiran Shivaraj, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 425-4000 |
Thai Quoc Nguyen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1997 | |
Dr. Richard Carl Weiss, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114 Phone: 386-254-4212 Fax: 386-254-4214 | |
Dhrumil Vijaykumar Patel, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Alexandra Crossman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Dr. Vinicius Costa Diniz Domingues, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 709 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-252-1632 Fax: 386-257-5526 | |
Dr. Mahmoud S Khalifa, MD Nephrology Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Dr. David Scott Weinreich, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-899-3686 |