| Dr Nitya L Brenner, MD | |
|
1125 Pierce St, Sioux City, IA 51105-1485 | |
| (712) 255-8901 | |
| (712) 255-9161 |
| Full Name | Dr Nitya L Brenner |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1125 Pierce St, Sioux City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881691293 | NPI | - | NPPES |
| 0442483 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35692 (Iowa) | Secondary |
| 208000000X | Pediatrics | 35692 (Iowa) | Primary |
| Entity Name | Family Health Care Of Siouxland Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437170685 PECOS PAC ID: 7315839412 Enrollment ID: O20040325000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nitya L Brenner, MD 1125 Pierce St, Sioux City, IA 51105-1485 Ph: (712) 255-8901 | Dr Nitya L Brenner, MD 1125 Pierce St, Sioux City, IA 51105-1485 Ph: (712) 255-8901 |
Dr. Eyad K Najdawi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1125 Pierce St, Sioux City, IA 51105 Phone: 712-255-8901 Fax: 712-255-9161 | |
Dr. Sandra Kay Swedean Granger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106 Phone: 712-662-2700 Fax: 712-266-2666 | |
Dr. Jeremy Julian Granger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106 Phone: 712-266-2700 Fax: 712-266-2666 | |
Raul C Banagale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3789 Fax: 712-279-3613 | |
Dr. Ray C Sturdevant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2800 Pierce St, Suite 207, Sioux City, IA 51104 Phone: 712-255-8901 Fax: 712-255-9161 | |
Dr. Patrick B Beck, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1125 Pierce St, Sioux City, IA 51105 Phone: 712-255-8901 Fax: 712-255-9161 | |
Li Chi Chew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3410 |