| Hospitalist Gi Group Llc | |
|
10101 Forest Hill Blvd Wellington FL 33414-6103 | |
| (561) 798-8500 | |
| Not Available |
| Full Name | Hospitalist Gi Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10101 Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | Daniela Ghiragossian (ADMINISTRATOR) |
| Authorized Official Contact | 5612686509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Gi Group Llc 2326 S Congress Ave Ste 2d West Palm Beach FL 33406-7614 Ph: () - | Hospitalist Gi Group Llc 10101 Forest Hill Blvd Wellington FL 33414-6103 Ph: (561) 798-8500 |
| NPI Number | 1871225912 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 2668843392 |
|---|---|
| Medicare Enrollment ID | O20230117001803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871225912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Khiem D Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316922511 PECOS PAC ID: 7810991866 Enrollment ID: I20090102000316 |
| Provider Name | Motaz K Al Hafnawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851553606 PECOS PAC ID: 4880768811 Enrollment ID: I20100310000392 |
| Provider Name | Brian K Hudes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063488088 PECOS PAC ID: 4789618240 Enrollment ID: I20181119000683 |
| Provider Name | Rajiv Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770797359 PECOS PAC ID: 5294923272 Enrollment ID: I20210309002660 |
| Provider Name | Bridget Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972183549 PECOS PAC ID: 5294134623 Enrollment ID: I20210604000400 |
| Provider Name | Sagar Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205002276 PECOS PAC ID: 8426228461 Enrollment ID: I20240131002711 |
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