| Mariam Aboulela, MD | |
|
700 6th St S, St Petersburg, FL 33701-4815 | |
| (727) 893-6198 | |
| (727) 893-6978 |
| Full Name | Mariam Aboulela |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 700 6th St S, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013546670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | V2960 (Texas) | Primary |
| Entity Name | Privia Medical Group Gulf Coast Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Aboulela, MD 17520 W Grand Pkwy S Ste 230, Sugar Land, TX 77479-4759 Ph: (713) 578-3823 | Mariam Aboulela, MD 700 6th St S, St Petersburg, FL 33701-4815 Ph: (727) 893-6198 |
Bradley Harmon Sipe, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 625 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-7903 | |
Dr. David D. Desper Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 6th St S, St Petersburg, FL 33701 Phone: 727-893-6198 | |
Wilfredo Lorenzo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6700 Crosswinds Dr N, Ste 200a, St Petersburg, FL 33710 Phone: 727-344-4651 Fax: 727-347-6224 | |
Dr. Molly M Long, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 603 7th St S, Suite 300, St Petersburg, FL 33701 Phone: 727-954-7121 Fax: 727-954-7122 | |
Michael Kinder, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 700 Central Ave Ste 400, St Petersburg, FL 33701 Phone: 727-895-1300 Fax: 727-823-3494 | |
Dr. Margaret Lindsay Struthers, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 603 7th St S, Suite 300, St Petersburg, FL 33701 Phone: 727-553-7500 |