| Nardine M Mikhail, DO | |
| 840 Harrison Ave, Boston, MA 02118-2905 | |
| (617) 638-6610 | |
| (617) 638-6616 | 
| Full Name | Nardine M Mikhail | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 840 Harrison Ave, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902301518 | NPI | - | NPPES | 
| 110201651A | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 1015325 (Massachusetts) | Primary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 25MB12769600 (New Jersey) | Secondary | 
| Entity Name | Internal Medical Associates-ebnhc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 | 
| Entity Name | Boston University Medical Center Radiologists, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134166945 PECOS PAC ID: 1052392768 Enrollment ID: O20040527001320 | 
| Entity Name | East Boston Neighborhood Health Center Corp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nardine M Mikhail, DO 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: () - | Nardine M Mikhail, DO 840 Harrison Ave, Boston, MA 02118-2905 Ph: (617) 638-6610 | 
| Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248 | |
| Justin Sardi, MD Radiology Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2000 | |
| Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000 | |
| Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004 | |
| Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260 | |
| Raymond W Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079 | |
| Dr. Hillary R. Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114 Phone: 617-726-8320 Fax: 617-724-3338 |