| Nicholas Julius Carbajal, MD | |
|
2725 Andrew Ave, Pascagoula, MS 39567-1815 | |
| (228) 762-0713 | |
| Not Available |
| Full Name | Nicholas Julius Carbajal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 2725 Andrew Ave, Pascagoula, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578025789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 33147 (Louisiana) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 33409 (Mississippi) | Primary |
| Entity Name | Nephrology Associates Of Mobile, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861477507 PECOS PAC ID: 8729061668 Enrollment ID: O20190725001692 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Julius Carbajal, MD 1514 Jefferson Hwy Rm 642, New Orleans, LA 70121-2429 Ph: (504) 842-0245 | Nicholas Julius Carbajal, MD 2725 Andrew Ave, Pascagoula, MS 39567-1815 Ph: (228) 762-0713 |
Dr. Randy Roth, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
James Lee Harwell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
Ediz Tasan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4300 Hospital St Ste 102, Pascagoula, MS 39581 Phone: 228-762-1002 | |
Dr. Edgar Hull, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Olusola Isikalu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2712 Criswell Ave, Pascagoula, MS 39567 Phone: 228-762-0713 Fax: 228-762-0712 | |
Hugo A Quintana, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4211 Hospital St Ste 202, Pascagoula, MS 39581 Phone: 228-372-8270 Fax: 228-372-8270 | |
Thomas E. Stevens Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 |