| Henda Bouali, MD | |
|
4417 Vestal Parkway East, Suite 202, Vestal, NY 13850-3556 | |
| (607) 770-7365 | |
| (607) 729-5882 |
| Full Name | Henda Bouali |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 27 Years |
| Location | 4417 Vestal Parkway East, Vestal, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053495465 | NPI | - | NPPES |
| 02940054 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 246796 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Delaware Valley Hospital, Inc | Walton, NY | Hospital |
| Chenango Memorial Hospital | Norwich, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Health Services Hospitals, Inc. | 5193610533 | 402 |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Entity Name | Delaware Valley Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144312646 PECOS PAC ID: 2860388337 Enrollment ID: O20040223001307 |
| Entity Name | Delaware Valley Hospital Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417940719 PECOS PAC ID: 2860388337 Enrollment ID: O20210611000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Henda Bouali, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 729-8156 | Henda Bouali, MD 4417 Vestal Parkway East, Suite 202, Vestal, NY 13850-3556 Ph: (607) 770-7365 |
Dr. Sreekanth Reddy Kondareddy, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-8833 | |
Kevin Gallagher, Rheumatology Medicare: Medicare Enrolled Practice Location: 4417 Vestal Parkway East, Suite 201, Vestal, NY 13850 Phone: 607-770-7365 Fax: 607-798-1835 | |
Michael Yu Zhang, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-770-7365 Fax: 607-729-5882 | |
Dr. Mario Capparuccini, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 1020 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-754-5342 Fax: 607-754-5508 | |
Dr. Aditya Sanjeev Pawaskar, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-240-2879 Fax: 607-240-2972 | |
Dr. Alvin Greenberg, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 1020 Vestal Pkwy E, #2, Vestal, NY 13850 Phone: 607-754-5342 Fax: 607-754-5508 |