| Mathew Joseph Ulahannan, MD | |
|
1656 Champlin Ave, Utica, NY 13502-4830 | |
| (315) 735-6141 | |
| (315) 735-4391 |
| Full Name | Mathew Joseph Ulahannan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1656 Champlin Ave, Utica, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093767956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 170995 (New York) | Primary |
| Entity Name | Mathew J Ulahannan Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366612723 PECOS PAC ID: 2567637978 Enrollment ID: O20111214000313 |
| Entity Name | Primary Care Metabolic Disorders Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942833835 PECOS PAC ID: 5799116737 Enrollment ID: O20200507002164 |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew Joseph Ulahannan, MD 1656 Champlin Ave, Utica, NY 13502-4830 Ph: (315) 735-6141 | Mathew Joseph Ulahannan, MD 1656 Champlin Ave, Utica, NY 13502-4830 Ph: (315) 735-6141 |
Tiara Rashid, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1657 Sunset Ave, Utica, NY 13502 Phone: 315-797-7392 | |
Elif N Erim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2150 Bleecker St, Utica, NY 13501 Phone: 315-798-4955 Fax: 315-798-4740 | |
Nalini J Namassivaya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Riverside Dr, Utica, NY 13502 Phone: 315-735-2294 Fax: 315-735-2021 | |
Dr. Bradley Sklar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Business Park Drive, 1st Floor, Utica, NY 13502 Phone: 315-624-7000 Fax: 315-793-1129 | |
Tracey Elizabeth Beard Hansel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-6467 Fax: 315-624-6469 | |
Emile Wassel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Champlin Ave Ste 1, Utica, NY 13502 Phone: 315-624-9004 Fax: 315-624-9003 | |
Shanze Khalid, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1657 Sunset Ave, Utica, NY 13502 Phone: 315-797-8267 |