| Mr Mouhab Aljajeh, MD | |
|
658 Malta Ave, Ste 101, Malta, NY 12020 | |
| (518) 580-0553 | |
| (518) 580-0557 |
| Full Name | Mr Mouhab Aljajeh |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 658 Malta Ave, Malta, 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 |
|---|---|---|---|
| 1639338627 | NPI | - | NPPES |
| 06292644 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 01070387A (Indiana) | Secondary |
| 207W00000X | Ophthalmology | 303835-01 (New York) | Primary |
| Entity Name | Saratoga Vitreo-retinal Ophthalmology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316055940 PECOS PAC ID: 7719078161 Enrollment ID: O20070814000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mouhab Aljajeh, MD 658 Malta Ave, Ste 101, Malta, NY 12020 Ph: (518) 580-0553 | Mr Mouhab Aljajeh, MD 658 Malta Ave, Ste 101, Malta, NY 12020 Ph: (518) 580-0553 |
Mr. Charles H Rheeman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 658 Malta Ave, Ste 101, Malta, NY 12020 Phone: 518-580-0553 Fax: 518-580-0557 | |
Rad Bintareef, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 658 Malta Ave Ste 101, Malta, NY 12020 Phone: 518-580-0553 | |
Mr. Brett J. Campbell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 658 Malta Ave, Suite 101, Malta, NY 12020 Phone: 518-580-0553 Fax: 518-580-0557 | |
Ms. Alice Y Zhang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 658 Malta Ave, Ste 101, Malta, NY 12020 Phone: 518-580-0553 Fax: 518-580-0557 | |
Ms. Kelly M Lee, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 658 Malta Ave., Ste 101, Malta, NY 12020 Phone: 518-580-0553 Fax: 518-580-0557 |