| Iracema Arevalo, MD | |
|
715 S Taft Ave, Fremont, OH 43420-3200 | |
| (419) 334-6679 | |
| (419) 334-6690 |
| Full Name | Iracema Arevalo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 715 S Taft Ave, Fremont, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962620294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 35089621 (Ohio) | Primary |
| 282NR1301X | General Acute Care Hospital - Rural | 35. 089621 (Ohio) | Secondary |
| Entity Name | Memorial Professional Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205139623 PECOS PAC ID: 1456531870 Enrollment ID: O20110202000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Iracema Arevalo, MD 18 Fox Run Dr, Fremont, OH 43420-8562 Ph: (567) 201-2213 | Iracema Arevalo, MD 715 S Taft Ave, Fremont, OH 43420-3200 Ph: (419) 334-6679 |
Sabeeha Naazneen Shaik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6679 Fax: 419-334-6690 | |
Ms. Danielle Nicole Grieb, APRN-CNP Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6679 | |
Dr. Claudeen Whitfield, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 410 Birchard Ave, Fremont, OH 43420 Phone: 419-334-8943 |