| Id Consultants Inc | |
|
2300 S Congress Ave Suite 100 Boynton Beach FL 33426-7400 | |
| (561) 735-7531 | |
| (561) 742-8250 |
| Full Name | Id Consultants Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 S Congress Ave, Boynton Beach, Florida |
| Authorized Official Name and Position | Latha Srinath (PHYSICIAN) |
| Authorized Official Contact | 5617357531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Consultants Inc 2300 S Congress Ave Suite 100 Boynton Beach FL 33426-7400 Ph: (561) 735-7531 | Id Consultants Inc 2300 S Congress Ave Suite 100 Boynton Beach FL 33426-7400 Ph: (561) 735-7531 |
| NPI Number | 1134217987 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 03/28/2008 |
| Medicare PECOS PAC ID | 5991602963 |
|---|---|
| Medicare Enrollment ID | O20040129000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134217987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 00017567 (Florida) | Primary |
| Provider Name | Sunket Ahkee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023111580 PECOS PAC ID: 7618873340 Enrollment ID: I20031211000799 |
| Provider Name | Ramprasad Gopalan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841393303 PECOS PAC ID: 1759376304 Enrollment ID: I20040414001992 |
| Provider Name | Suzanne Y Succop |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578583076 PECOS PAC ID: 9133100209 Enrollment ID: I20040525001329 |
| Provider Name | Inemesit Umoren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770639676 PECOS PAC ID: 0547308561 Enrollment ID: I20091112000259 |
| Provider Name | Latha Srinath |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407959802 PECOS PAC ID: 0547163396 Enrollment ID: I20101109001430 |
| Provider Name | Kitonga P Kiminyo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649373101 PECOS PAC ID: 8325945322 Enrollment ID: I20120131000176 |
| Provider Name | Maria Pontier- Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326454364 PECOS PAC ID: 5991077513 Enrollment ID: I20170816004406 |
| Provider Name | Daisy Torres-miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407199938 PECOS PAC ID: 4688893084 Enrollment ID: I20190114000292 |
| Provider Name | Sheeba E Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013482249 PECOS PAC ID: 0941637375 Enrollment ID: I20200225001976 |
| Provider Name | Shilpa Chaudhari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083952493 PECOS PAC ID: 4981921624 Enrollment ID: I20210528001767 |
| Provider Name | Maria C Flora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649818683 PECOS PAC ID: 9133503592 Enrollment ID: I20220902000627 |
| Provider Name | Minu M Mathew |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629429113 PECOS PAC ID: 8022362250 Enrollment ID: I20230911003388 |
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