| Dr Mahmoud Abu Ghanam, MD | |
|
1987 State Route 52 Ste 10, Liberty, NY 12754-8317 | |
| (845) 292-0078 | |
| (845) 292-3244 |
| Full Name | Dr Mahmoud Abu Ghanam |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 34 Years |
| Location | 1987 State Route 52 Ste 10, Liberty, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912952540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 272625 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 272625 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ellenville Regional Hospital | Ellenville, NY | Hospital |
| Garnet Health Medical Center Catskills | Harris, NY | Hospital |
| Garnet Health Medical Center | Middletown, NY | Hospital |
| Entity Name | Hussein Omar, Physician, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659329050 PECOS PAC ID: 9830118025 Enrollment ID: O20051116000965 |
| Entity Name | Mahmoud Abu-ghanam Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669181780 PECOS PAC ID: 7719357151 Enrollment ID: O20221230000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahmoud Abu Ghanam, MD Po Box 190, Ferndale, NY 12734-0558 Ph: (845) 292-0078 | Dr Mahmoud Abu Ghanam, MD 1987 State Route 52 Ste 10, Liberty, NY 12754-8317 Ph: (845) 292-0078 |
Dr. Hussein Omar, PHYSICIAN, P.C. Pain Medicine Medicare: Medicare Enrolled Practice Location: 1885 State Route 52, Liberty, NY 12754 Phone: 845-292-0078 Fax: 845-292-3244 |