| Shoukri Mina Wisa, MD | |
| 
					164 Washington Ave, Batavia, NY 14020-2113  | |
| (585) 343-6363 | |
| (585) 343-1986 | 
| Full Name | Shoukri Mina Wisa | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Hematology & Oncology | 
| Location | 164 Washington Ave, Batavia, 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 | 
|---|---|---|---|
| 1306895370 | NPI | - | NPPES | 
| 01127086 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 1705271 (New York) | Secondary | 
| 207RH0003X | Internal Medicine - Hematology & Oncology | 170527 (New York) | Primary | 
| Entity Name | Rochester General Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644  | 
| Entity Name | The Unity Hospital Of Rochester | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038  | 
| Entity Name | United Memorial Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847  | 
| Entity Name | Western New York Medical Practice Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shoukri Mina Wisa, MD 164 Washington Ave, Batavia, NY 14020-2113 Ph: (585) 343-6363  | Shoukri Mina Wisa, MD 164 Washington Ave, Batavia, NY 14020-2113 Ph: (585) 343-6363  | 
Syed Mustajab Ahmed,  Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 127 North St, Batavia, NY 14020 Phone: 585-343-6030  | |
Bryan James Fiema, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 229 Summit St Ste 10, Batavia, NY 14020 Phone: 585-442-5320  | |
Dr. Keun C Oh, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 229 Summit St, Ste 1, Batavia, NY 14020 Phone: 585-343-4440 Fax: 585-343-0381  | |
Rozy Nelofar Wani, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 229 Summit St Ste 1, Batavia, NY 14020 Phone: 585-343-4440 Fax: 585-343-0381  | |
Dr. Qiu Jun Tong, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 229 Summit St Ste 10, Batavia, NY 14020 Phone: 585-442-5320  | |
Zainub Ajmal, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 127 North St, Batavia, NY 14020 Phone: 585-344-5252  |