| Stephen M Friedman, MD | |
|
516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | |
| (505) 722-1000 | |
| (505) 722-1192 |
| Full Name | Stephen M Friedman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 55 Years |
| Location | 516 E. Nizhoni Blvd., Gallup, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669406963 | NPI | - | NPPES |
| 911968 | Medicaid | AZ | |
| 88078221 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD00014260 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gallup Indian Medical Center | Gallup, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs,phs,naihs Gallup Indian Medical Center | 3173436409 | 134 |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Friedman, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 | Stephen M Friedman, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Eileen Biunno, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1192 | |
Daniel S Beggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1192 | |
Dr. Paul David Ostrovsky, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1162 Fax: 505-722-1192 | |
Richard Sorgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Edgar R Cordivin, MD Radiology Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1192 |