| Dialysis Access Specialists, LLC | |
|
5 Orange Grove Christiansted VI 00820 | |
| (340) 715-7720 | |
| (340) 713-9002 |
| Full Name | Dialysis Access Specialists, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Orange Grove, Christiansted, Virgin Island |
| Authorized Official Name and Position | Tasnim Khan (DIRECTOR) |
| Authorized Official Contact | 3407157720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dialysis Access Specialists, LLC 3004 Orange Grove Suite 2 Christiansted VI 00820-4288 Ph: (340) 715-7720 | Dialysis Access Specialists, LLC 5 Orange Grove Christiansted VI 00820 Ph: (340) 715-7720 |
| NPI Number | 1841598596 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 2163609181 |
|---|---|
| Medicare Enrollment ID | O20110531000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841598596 | NPI | - | NPPES |
| 1675 | Other | VI | VI DEPARTMENT OF HEALTH |
| 1841598596 | Medicaid | VI | |
| 1674 | Other | VI | VIRGIN ISLANDS DEPARTMENT OF HEALTH |
| Provider Name | Tasnim Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841286374 PECOS PAC ID: 8729069943 Enrollment ID: I20110531000470 |
| Provider Name | Jan B Tawakol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750375671 PECOS PAC ID: 3779531900 Enrollment ID: I20110601000009 |
| Provider Name | Jan Lee Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861468407 PECOS PAC ID: 7618876632 Enrollment ID: I20170914002707 |
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