| Dr Renauldo Gordon, | |
|
1503 Saint Johns Pl, Brooklyn, NY 11213-3910 | |
| (646) 673-1317 | |
| Not Available |
| Full Name | Dr Renauldo Gordon |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 1503 Saint Johns Pl, Brooklyn, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073998670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | XXXXXXXX (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oak Hill Hospital | Brooksville, FL | Hospital |
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Largo Medical Center | Largo, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Hospitalist Services Of Arizona Llc | 8820138076 | 21 |
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 471 |
| Entity Name | Comprehensive Hospitalist Services Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689909780 PECOS PAC ID: 8820138076 Enrollment ID: O20091218000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Renauldo Gordon, 1503 Saint Johns Pl, Brooklyn, NY 11213-3910 Ph: (646) 673-1317 | Dr Renauldo Gordon, 1503 Saint Johns Pl, Brooklyn, NY 11213-3910 Ph: (646) 673-1317 |
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