| Sanjeev Bongu, MD | |
|
60 Township Line Rd, Elkins Park, PA 19027-2220 | |
| (215) 456-6500 | |
| Not Available |
| Full Name | Sanjeev Bongu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 60 Township Line Rd, Elkins Park, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306877048 | NPI | - | NPPES |
| 951882C2D | Other | NJ | MEDICARE BILLING NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD054621L (Pennsylvania) | Primary |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467552240 PECOS PAC ID: 6406742592 Enrollment ID: O20050603000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjeev Bongu, MD 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 Ph: (215) 456-6500 | Sanjeev Bongu, MD 60 Township Line Rd, Elkins Park, PA 19027-2220 Ph: (215) 456-6500 |
Mr. Frank J. Barch, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7807 Woodlawn Ave, Elkins Park, PA 19027 Phone: 540-421-2525 | |
Dr. Stephanie Ekizian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8302 Old York Rd, Elkins Park, PA 19027 Phone: 215-885-8550 Fax: 215-885-8870 | |
David Gary, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8080 Old York Rd Ste 207, Elkins Park, PA 19027 Phone: 215-758-2481 | |
John Telegadis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Township Line Rd, Elkins Park, PA 19027 Phone: 215-663-9796 | |
Catherine Anastasopoulou, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Township Line Rd, Suite G01 Mab, Elkins Park, PA 19027 Phone: 215-572-5200 Fax: 215-572-6456 | |
Miss Patamaporn Lekprasert, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Township Line Rd, Medical Arts Building, Suite G01, Elkins Park, PA 19027 Phone: 215-572-5200 Fax: 215-572-6456 |