| Allied Im Llc | |
|
119 Oakfield Dr Brandon FL 33511-5779 | |
| (813) 304-1986 | |
| Not Available |
| Full Name | Allied Im Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Oakfield Dr, Brandon, Florida |
| Authorized Official Name and Position | James C Abraham (OWNER) |
| Authorized Official Contact | 8133041986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Im Llc Po Box 320848 Tampa FL 33679-2848 Ph: (813) 304-1986 | Allied Im Llc 119 Oakfield Dr Brandon FL 33511-5779 Ph: (813) 304-1986 |
| NPI Number | 1295140325 |
|---|---|
| Provider Enumeration Date | 06/27/2014 |
| Last Update Date | 09/23/2016 |
| Medicare PECOS PAC ID | 6406074947 |
|---|---|
| Medicare Enrollment ID | O20140826000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295140325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Ron Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326207382 PECOS PAC ID: 3577605351 Enrollment ID: I20100115000674 |
| Provider Name | James C Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467421735 PECOS PAC ID: 8426063538 Enrollment ID: I20101020001382 |
| Provider Name | Corey Amman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336374529 PECOS PAC ID: 7810149796 Enrollment ID: I20121129000391 |
| Provider Name | Marina Karadayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194150698 PECOS PAC ID: 8729363262 Enrollment ID: I20170323000982 |
| Provider Name | Eugenia Diana Glaros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629403126 PECOS PAC ID: 6901182153 Enrollment ID: I20170424002111 |
| Provider Name | Nicholas E Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518388099 PECOS PAC ID: 1850529652 Enrollment ID: I20170523002113 |
| Provider Name | Nadia Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932580958 PECOS PAC ID: 7214287853 Enrollment ID: I20180901000003 |
| Provider Name | Syed M Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003213604 PECOS PAC ID: 7618264714 Enrollment ID: I20181026000956 |
| Provider Name | Jennifer V Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922276153 PECOS PAC ID: 8123179256 Enrollment ID: I20181228000933 |
| Provider Name | Jesse C Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740637768 PECOS PAC ID: 1456687912 Enrollment ID: I20190723000620 |
| Provider Name | Anh Vu Dinh-kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104213511 PECOS PAC ID: 0446503999 Enrollment ID: I20200717000958 |
| Provider Name | Graham R Sowa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508390824 PECOS PAC ID: 1951725670 Enrollment ID: I20200728000460 |
| Provider Name | Angela Denise Digamon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558895045 PECOS PAC ID: 6608292826 Enrollment ID: I20200819001054 |
| Provider Name | Sokol Kalaveshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699209882 PECOS PAC ID: 7719318559 Enrollment ID: I20200914002034 |
| Provider Name | Luis M Mejia Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699270801 PECOS PAC ID: 6608279278 Enrollment ID: I20210721000391 |
| Provider Name | Marc Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700056769 PECOS PAC ID: 4587068572 Enrollment ID: I20210812003865 |
| Provider Name | Puja Kishor Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790280600 PECOS PAC ID: 6901224898 Enrollment ID: I20210827002809 |
| Provider Name | Pavani Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801141908 PECOS PAC ID: 6204145873 Enrollment ID: I20211005002038 |
| Provider Name | Andrew M Niclosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902366735 PECOS PAC ID: 9830571090 Enrollment ID: I20220804000282 |
| Provider Name | Irene M Muratides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205396710 PECOS PAC ID: 9537541453 Enrollment ID: I20220809000622 |
| Provider Name | Tilisha Persaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558821207 PECOS PAC ID: 4587049168 Enrollment ID: I20220919000350 |
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