| Mahim Shuja, MD | |
|
14351 Kutztown Rd, Fleetwood, PA 19522-9273 | |
| (610) 944-8800 | |
| (610) 944-8213 |
| Full Name | Mahim Shuja |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 14351 Kutztown Rd, Fleetwood, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396192787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BP10056906 (Texas) | Secondary |
| 207Q00000X | Family Medicine | MD468566 (Pennsylvania) | Primary |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Trinity Health Mid-atlantic Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982361 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahim Shuja, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Mahim Shuja, MD 14351 Kutztown Rd, Fleetwood, PA 19522-9273 Ph: (610) 944-8800 |
Dr. Travis David Miller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 N Richmond St Ste 101, Fleetwood, PA 19522 Phone: 610-944-0464 Fax: 610-944-9733 | |
Robert Sellers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 Fax: 610-944-9733 | |
Eugene Fellin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 Fax: 610-944-9733 | |
Francis Foley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 805 N Richmond St Ste 100, Fleetwood, PA 19522 Phone: 610-944-0464 Fax: 610-944-9733 | |
Victoria Frances Psomiadis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 Fax: 610-944-8213 | |
Lynn Gordos, CRPN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 Fax: 610-944-9733 |