| Dr Shivakumar S Hanubal, MD | |
|
1414 E Main St, Leesburg, FL 34748-5329 | |
| (352) 728-3898 | |
| (352) 728-6240 |
| Full Name | Dr Shivakumar S Hanubal |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 1414 E Main St, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164492542 | NPI | - | NPPES |
| 371347400 | Medicaid | FL | |
| 001553588 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME-0062736 (Florida) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | ME-0062736 (Florida) | Primary |
| Entity Name | Ob Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shivakumar S Hanubal, MD 1414 E Main St, Leesburg, FL 34748-5329 Ph: (352) 728-3898 | Dr Shivakumar S Hanubal, MD 1414 E Main St, Leesburg, FL 34748-5329 Ph: (352) 728-3898 |
Nateya Carrington, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 E Main St Ste 1, Leesburg, FL 34748 Phone: 352-728-3898 | |
Dr. Mary Beth Lewis-boardman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 305 S Childs St, Leesburg, FL 34748 Phone: 352-348-3008 Fax: 352-432-1479 | |
Dr. Wendell John Courtney, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave, Suite301, Leesburg, FL 34748 Phone: 352-787-1001 | |
Kaitlin R Lee, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave, Medical Plaza Ste 401, Leesburg, FL 34748 Phone: 352-787-1535 | |
Dr. Manuel Alvarado, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 E Main St, Leesburg, FL 34748 Phone: 352-728-3898 Fax: 352-728-6240 |