| Lakeview Healthcare System, Llc | |
|
10250 Se 167th Place Road Suite 5 Summerfield FL 34491-8632 | |
| (352) 307-9925 | |
| (352) 385-0033 |
| Full Name | Lakeview Healthcare System, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10250 Se 167th Place Road, Summerfield, Florida |
| Authorized Official Name and Position | Khai Sheng Chang (PRESIDENT) |
| Authorized Official Contact | 3527353755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Healthcare System, Llc 10250 Se 167th Place Rd Unit 5 Summerfield FL 34491-8682 Ph: (352) 307-9925 | Lakeview Healthcare System, Llc 10250 Se 167th Place Road Suite 5 Summerfield FL 34491-8632 Ph: (352) 307-9925 |
| NPI Number | 1841484979 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 8921074733 |
|---|---|
| Medicare Enrollment ID | O20080520000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841484979 | NPI | - | NPPES |
| 265426100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aurindom Narayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821166638 PECOS PAC ID: 6608854948 Enrollment ID: I20040712001470 |
| Provider Name | Ma Thuzar Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053358382 PECOS PAC ID: 9830195155 Enrollment ID: I20061010000540 |
| Provider Name | Birendra Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851592802 PECOS PAC ID: 9931295698 Enrollment ID: I20071011000403 |
| Provider Name | Ajay H Bisht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629279344 PECOS PAC ID: 7618063371 Enrollment ID: I20071011000442 |
| Provider Name | Tasneem Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740489707 PECOS PAC ID: 9830249853 Enrollment ID: I20090615000117 |
| Provider Name | Khai Sheng Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881665222 PECOS PAC ID: 7911973722 Enrollment ID: I20100713000158 |
| Provider Name | Shahbaz Ali Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079508 PECOS PAC ID: 6709918303 Enrollment ID: I20100717000032 |
| Provider Name | Ellias N Maroun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164677373 PECOS PAC ID: 1153572912 Enrollment ID: I20121105000291 |
| Provider Name | Justin Kyle Lindquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457411944 PECOS PAC ID: 4688816523 Enrollment ID: I20130806000485 |
| Provider Name | Sara Ines Gitte |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629348966 PECOS PAC ID: 2961636840 Enrollment ID: I20131008001292 |
| Provider Name | Prabhat Tandon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245265941 PECOS PAC ID: 5395728158 Enrollment ID: I20140709000369 |
| Provider Name | Hasan Abualula |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508008228 PECOS PAC ID: 7416269907 Enrollment ID: I20150713001147 |
| Provider Name | Michelle L Sidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821549437 PECOS PAC ID: 1951682988 Enrollment ID: I20170105000006 |
| Provider Name | Michael Chesner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154355766 PECOS PAC ID: 0749217446 Enrollment ID: I20170815002288 |
| Provider Name | Bassem B Ibrahim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346683505 PECOS PAC ID: 1759659451 Enrollment ID: I20180730000769 |
| Provider Name | Haroon Rashid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629006499 PECOS PAC ID: 1153384938 Enrollment ID: I20190104002290 |
| Provider Name | Alexandra Vlad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710447917 PECOS PAC ID: 3870915705 Enrollment ID: I20200623002759 |
| Provider Name | Nicole Cardiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346845039 PECOS PAC ID: 3971917550 Enrollment ID: I20210121001751 |
| Provider Name | James D Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346625944 PECOS PAC ID: 1052712247 Enrollment ID: I20210625000135 |
| Provider Name | Jill Tolia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972721629 PECOS PAC ID: 6406935782 Enrollment ID: I20211020001633 |
| Provider Name | Ahmad Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679134399 PECOS PAC ID: 0547640773 Enrollment ID: I20220706002763 |
| Provider Name | Sarah Bou Nader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356907687 PECOS PAC ID: 4385971274 Enrollment ID: I20220815002077 |
| Provider Name | Sanil Skaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770005753 PECOS PAC ID: 4082021803 Enrollment ID: I20230404002712 |
| Provider Name | Adesunmbo Adeniyi Arogundade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740989078 PECOS PAC ID: 2860858032 Enrollment ID: I20230512000810 |
| Provider Name | Ashley Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235791344 PECOS PAC ID: 4385005420 Enrollment ID: I20230804001889 |
| Provider Name | Lou Jing Armentrout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033824198 PECOS PAC ID: 7719341882 Enrollment ID: I20230908001410 |
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