| Roostam M Kholmatov, MD | |
|
5150 Mae Anne Ave Ste 405-1082, Reno, NV 89523-1858 | |
| (775) 256-9494 | |
| Not Available |
| Full Name | Roostam M Kholmatov |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 5150 Mae Anne Ave Ste 405-1082, Reno, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497277123 | NPI | - | NPPES |
| Entity Name | Glutality Provider Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200929001456 |
| Mailing Address | Practice Location Address |
|---|---|
| Roostam M Kholmatov, MD 5150 Mae Anne Ave Ste 405-1082, Reno, NV 89523-1858 Ph: (775) 256-9494 | Roostam M Kholmatov, MD 5150 Mae Anne Ave Ste 405-1082, Reno, NV 89523-1858 Ph: (775) 256-9494 |
Dr. Richard Bruce Rosen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 781 Mill St, Reno, NV 89502 Phone: 775-398-1980 Fax: 775-398-1981 |
Rahul Navin Mediwala, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St, Suite 201, Reno, NV 89502 Phone: 775-982-3355 Fax: 775-982-3356 |
Dr. Raymond Hill Scott Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 330 Crampton St, Reno, NV 89502 Phone: 775-336-3700 Fax: 775-336-3701 |
Dr. Bruce William Denney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St Ms W14, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 |
Dr. Elmer Epres Alegre, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1715 Kuenzli St, Reno, NV 89502 Phone: 775-329-5162 Fax: 775-334-4356 |
Dr. Devang Mahesh Desai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5390 Longley Ln, Reno, NV 89511 Phone: 775-302-0000 Fax: 775-260-0368 |
Dr. Thomas S. Davee, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 |