| Kerolus Shehata, MD | |
|
730 W Market St Ste 2k, Lima, OH 45801-4602 | |
| (419) 996-5852 | |
| (419) 996-5854 |
| Full Name | Kerolus Shehata |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Interventional Cardiology |
| Location | 730 W Market St Ste 2k, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679007868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125069800 (Illinois) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 35.153257 (Ohio) | Primary |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerolus Shehata, MD 1500 S Fairfield Ave, Chicago, IL 60608-1782 Ph: (773) 257-5077 | Kerolus Shehata, MD 730 W Market St Ste 2k, Lima, OH 45801-4602 Ph: (419) 996-5852 |
Nadia Ghallab, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-4310 Fax: 419-226-4315 | |
Deena M Hassuna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 W Market St Ste 260, Lima, OH 45805 Phone: 199-964-0034 Fax: 419-996-5276 | |
Andrea Margarita Aquino Saludes, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 770 W High St Ste 210, Lima, OH 45801 Phone: 419-996-5053 Fax: 419-996-2688 | |
Mr. Tariq I Sheikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2793 Shawnee Rd, Lima, OH 45806 Phone: 419-227-8209 Fax: 419-222-6007 | |
Nathaniel Eric Quinn, MD, MPH, CPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9301 | |
Dr. Eliyazar Gaddam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 Commerce Pkwy, Suite 100, Lima, OH 45804 Phone: 419-224-5915 Fax: 419-224-5918 | |
Pratap Balusu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Ste 250, Lima, OH 45801 Phone: 419-227-7399 Fax: 419-229-0123 |