| Tamara I Shashiashvili, DO | |
|
12 Kenmore St, West Babylon, NY 11704-8112 | |
| (516) 813-7556 | |
| Not Available |
| Full Name | Tamara I Shashiashvili |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 17 Years |
| Location | 12 Kenmore St, West Babylon, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649403767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 266569 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Suffolk Medical Pc | 0244396349 | 164 |
| Entity Name | Southwest Suffolk Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara I Shashiashvili, DO 12 Kenmore St, West Babylon, NY 11704-8112 Ph: (516) 813-7556 | Tamara I Shashiashvili, DO 12 Kenmore St, West Babylon, NY 11704-8112 Ph: (516) 813-7556 |
Pierre Collin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Straight Path, West Babylon, NY 11704 Phone: 631-957-0066 Fax: 631-957-2701 | |
Sadia Saad, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 580 Sunrise Hwy, West Babylon, NY 11704 Phone: 631-447-8300 | |
Dr. George Nicholas Vavilis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501a W Montauk Hwy, West Babylon, NY 11704 Phone: 631-587-0574 Fax: 631-422-1055 | |
Mark Grudman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 393 Sunrise Highway, West Babylon, NY 11704 Phone: 631-228-5540 Fax: 631-396-6861 | |
Dr. Kenneth F Solinsky, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 46 Little East Neck Road N, West Babylon, NY 11702 Phone: 631-661-0300 Fax: 631-661-0301 | |
Jennifer Mingione, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Great East Neck Rd, West Babylon, NY 11704 Phone: 631-321-9322 Fax: 631-321-9324 |