| Mr Medhat Allam, MD | |
|
365 County Road 39a, Suite 11, Southampton, NY 11968-5284 | |
| (631) 287-6202 | |
| Not Available |
| Full Name | Mr Medhat Allam |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 365 County Road 39a, Southampton, 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 |
|---|---|---|---|
| 1932108412 | NPI | - | NPPES |
| 193888 | Other | NY | LICENSE # |
| 01649430 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 193888 (New York) | Primary |
| Entity Name | Eastern Long Island Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699945378 PECOS PAC ID: 5991860603 Enrollment ID: O20090212000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Medhat Allam, MD 365 County Road 39a, Suite 11, Southampton, NY 11968-5284 Ph: (631) 287-6202 | Mr Medhat Allam, MD 365 County Road 39a, Suite 11, Southampton, NY 11968-5284 Ph: (631) 287-6202 |
Lawrence J Tarasuk, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968 Phone: 631-283-2100 Fax: 631-283-5731 | |
Dr. Jeffrey Marc Sherwood, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 33 Flying Point Rd, Suite 123, Southampton, NY 11968 Phone: 631-287-9696 Fax: 631-726-9323 | |
Dr. Edna Kapenhas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8300 | |
Gurpreet Gill, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 676 County Road 39a, Southampton, NY 11968 Phone: 934-213-4970 Fax: 934-213-4971 | |
Dr. George D Keckeisen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 Meeting House Ln, Bldg #2, Southampton, NY 11968 Phone: 631-283-2100 Fax: 631-283-5731 | |
Sang I Pak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Lane, Surgical Specialties Office, Southampton, NY 11968 Phone: 631-726-8717 Fax: 631-726-8720 |