| Kedak Z Baltajian, MD | |
|
2821 Michaelangelo Dr, Ste 401, Edinburg, TX 78539-1404 | |
| (956) 362-2470 | |
| (956) 362-2487 |
| Full Name | Kedak Z Baltajian |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 2821 Michaelangelo Dr, Edinburg, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992073258 | NPI | - | NPPES |
| 348603701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | Q4898 (Texas) | Primary |
| Entity Name | Renaissance Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467633867 PECOS PAC ID: 1153409867 Enrollment ID: O20080422000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Kedak Z Baltajian, MD Po Box 749, Pharr, TX 78577-1614 Ph: (956) 362-2171 | Kedak Z Baltajian, MD 2821 Michaelangelo Dr, Ste 401, Edinburg, TX 78539-1404 Ph: (956) 362-2470 |
Luis A. Ramirez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2821 Michael Angelo Ste 100, Edinburg, TX 78539 Phone: 956-683-6073 Fax: 956-686-7507 | |
Selina E Tristan, APRN,FNP-C Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 611 Bishop St, Edinburg, TX 78539 Phone: 956-792-1636 | |
Eduardo Jose Herrera Lirio, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4700 S Mccoll Rd Ste 107, Edinburg, TX 78539 Phone: 956-278-0816 | |
Cherie J Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2821 Michaelangelo Dr, Ste 401, Edinburg, TX 78539 Phone: 956-362-2470 Fax: 956-362-2487 | |
Dr. Kristy Morales, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4302 S Sugar Rd Ste 206, Edinburg, TX 78539 Phone: 956-682-6146 Fax: 956-631-0441 | |
Mr. Padraic Chisholm, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 910 S Closner Blvd, Edinburg, TX 78539 Phone: 956-380-3441 | |
Roxana Mohhebali-solis, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2821 Michaelangelo Dr Ste 202, Edinburg, TX 78539 Phone: 956-362-5880 Fax: 956-362-3598 |