| Soumini Chintala, | |
|
3401 N Broad St, Philadelphia, PA 19140-5103 | |
| (215) 707-6606 | |
| Not Available |
| Full Name | Soumini Chintala |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 3401 N Broad St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063823078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 55823 (Arizona) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD484536 (Pennsylvania) | Primary |
| Entity Name | Phoenix Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Soumini Chintala, 3500 N Broad St Rm 1a, Philadelphia, PA 19140-4106 Ph: (215) 707-2433 | Soumini Chintala, 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-6606 |
Aaron Dorfman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology, Philadelphia, PA 19104 Phone: 215-590-4040 Fax: 267-425-9800 | |
Brian Lestini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-590-2204 | |
Elizabeth Foglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104 Phone: 215-662-3228 Fax: 215-349-8831 | |
Dr. Katharine Taylor Levinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34th St And Civic Ctr Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-481-8795 | |
Ms. Amman Hassan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Philadelphia, PA 19141 Phone: 215-456-3810 | |
Geoffrey Libarnes Bajwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5000 | |
Helen Marie Stanley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104 Phone: 215-590-1220 |