| Dr Sandeep Anthony Ponniah, MD | |
|
3 Shircliff Way Ste 400, Jacksonville, FL 32204-4780 | |
| (904) 398-7205 | |
| Not Available |
| Full Name | Dr Sandeep Anthony Ponniah |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3 Shircliff Way Ste 400, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437599321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME127306 (Florida) | Primary |
| Entity Name | Borland Groover Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881644912 PECOS PAC ID: 6507761301 Enrollment ID: O20031204000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandeep Anthony Ponniah, MD 4800 Belfort Rd, Jacksonville, FL 32256-6004 Ph: (904) 398-3385 | Dr Sandeep Anthony Ponniah, MD 3 Shircliff Way Ste 400, Jacksonville, FL 32204-4780 Ph: (904) 398-7205 |
Dr. Jami Ann Rothe Kinnucan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |