| Lonestar Pat Associates Pa | |
|
2400 Round Rock Ave Round Rock TX 78681-4004 | |
| (512) 341-1000 | |
| Not Available |
| Full Name | Lonestar Pat Associates Pa |
|---|---|
| Speciality | Hospitalist |
| Location | 2400 Round Rock Ave, Round Rock, Texas |
| Authorized Official Name and Position | Lance Dean Williams (PRESIDENT) |
| Authorized Official Contact | 8004243672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lonestar Pat Associates Pa 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Lonestar Pat Associates Pa 2400 Round Rock Ave Round Rock TX 78681-4004 Ph: (512) 341-1000 |
| NPI Number | 1811594203 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/08/2020 |
| Medicare PECOS PAC ID | 9335559871 |
|---|---|
| Medicare Enrollment ID | O20201111002742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811594203 | NPI | - | NPPES |
| Provider Name | Romel Navarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053389718 PECOS PAC ID: 4284528357 Enrollment ID: I20040210000656 |
| Provider Name | Luis H Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609893288 PECOS PAC ID: 6901856749 Enrollment ID: I20050128000477 |
| Provider Name | Kendall A Britt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932138567 PECOS PAC ID: 7911935978 Enrollment ID: I20050801000223 |
| Provider Name | Hanzy Bustamante |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508828641 PECOS PAC ID: 5496786691 Enrollment ID: I20050827000065 |
| Provider Name | John C Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801812649 PECOS PAC ID: 6608879671 Enrollment ID: I20060811000065 |
| Provider Name | Jose Ayala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114960663 PECOS PAC ID: 9133222573 Enrollment ID: I20070306000067 |
| Provider Name | Kartik N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962410100 PECOS PAC ID: 5092819029 Enrollment ID: I20070402000356 |
| Provider Name | Jennifer D Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891751327 PECOS PAC ID: 6800846551 Enrollment ID: I20071126000261 |
| Provider Name | Evgenia G Slavcheva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477508448 PECOS PAC ID: 1658307384 Enrollment ID: I20080417000299 |
| Provider Name | Sam E Sawaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023264298 PECOS PAC ID: 5294888145 Enrollment ID: I20090724000689 |
| Provider Name | Niveditha Urs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346232121 PECOS PAC ID: 4789674623 Enrollment ID: I20090825000237 |
| Provider Name | Edgar Alberto Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370176 PECOS PAC ID: 4385700434 Enrollment ID: I20100607000155 |
| Provider Name | Padmavathamma Pothala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639250392 PECOS PAC ID: 5395876080 Enrollment ID: I20100624000238 |
| Provider Name | Clayton A Mccuan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235321126 PECOS PAC ID: 3274727573 Enrollment ID: I20101101000481 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Mahmuda Begum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598956773 PECOS PAC ID: 9133318025 Enrollment ID: I20110107000284 |
| Provider Name | Joseph C Elizondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780845883 PECOS PAC ID: 1254503188 Enrollment ID: I20111018000658 |
| Provider Name | Ayanava Majumdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407152747 PECOS PAC ID: 2769656438 Enrollment ID: I20111114000854 |
| Provider Name | Brian B Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598886954 PECOS PAC ID: 9830355486 Enrollment ID: I20120725000900 |
| Provider Name | John M Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437146370 PECOS PAC ID: 3375578404 Enrollment ID: I20120727000525 |
| Provider Name | Maryam Ayaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659506392 PECOS PAC ID: 0648426429 Enrollment ID: I20120809000805 |
| Provider Name | Aneesh George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104051382 PECOS PAC ID: 9436305091 Enrollment ID: I20120814000425 |
| Provider Name | Mauricio Pinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881860724 PECOS PAC ID: 8224286182 Enrollment ID: I20130326000310 |
| Provider Name | Jon T Stroud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386970408 PECOS PAC ID: 6800911611 Enrollment ID: I20130904000624 |
| Provider Name | Nirav R Amin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609187897 PECOS PAC ID: 3577706829 Enrollment ID: I20130905000466 |
| Provider Name | Saurin N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184944381 PECOS PAC ID: 1951545565 Enrollment ID: I20130923000221 |
| Provider Name | Jonathan A Guerra Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265745335 PECOS PAC ID: 0042446486 Enrollment ID: I20131113001542 |
| Provider Name | Richard Ross Panethere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942486253 PECOS PAC ID: 6305038274 Enrollment ID: I20140520001677 |
| Provider Name | Mark P Trisna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669799581 PECOS PAC ID: 7012155278 Enrollment ID: I20140703000843 |
| Provider Name | Worakarn Victor Ingkanisorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669670972 PECOS PAC ID: 9032293949 Enrollment ID: I20140908000258 |
| Provider Name | Ibrahim Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578807590 PECOS PAC ID: 4082834841 Enrollment ID: I20140930002154 |
| Provider Name | Vishal Nemarugommula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194982777 PECOS PAC ID: 2961673306 Enrollment ID: I20150108002096 |
| Provider Name | Geetha Nallamothu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144496019 PECOS PAC ID: 3577618495 Enrollment ID: I20150506001488 |
| Provider Name | Asritha P Srireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619257995 PECOS PAC ID: 0547492902 Enrollment ID: I20150810001770 |
| Provider Name | Celine Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144540881 PECOS PAC ID: 1153556303 Enrollment ID: I20150812007187 |
| Provider Name | Dung Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437416518 PECOS PAC ID: 4284940107 Enrollment ID: I20150908001870 |
| Provider Name | Hatim F Chhatriwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649427618 PECOS PAC ID: 8022169945 Enrollment ID: I20151014002727 |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20151019000089 |
| Provider Name | Bhavik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013234996 PECOS PAC ID: 9537395900 Enrollment ID: I20151112003073 |
| Provider Name | Nicolina Martinez |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215299813 PECOS PAC ID: 0941519995 Enrollment ID: I20151221002590 |
| Provider Name | Andrea Janene Adams-krueger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902037021 PECOS PAC ID: 1052561669 Enrollment ID: I20151230002335 |
| Provider Name | Micah David Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306074778 PECOS PAC ID: 4486834454 Enrollment ID: I20160302000212 |
| Provider Name | Lia M Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053726976 PECOS PAC ID: 5395038624 Enrollment ID: I20160725002421 |
| Provider Name | Abigail S Ironside |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770928368 PECOS PAC ID: 2860786696 Enrollment ID: I20160802002043 |
| Provider Name | Anand Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205233970 PECOS PAC ID: 2961797378 Enrollment ID: I20160824002273 |
| Provider Name | Tanuja Salim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336589761 PECOS PAC ID: 3870899495 Enrollment ID: I20160829002436 |
| Provider Name | Jose Martin Cardenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356755342 PECOS PAC ID: 1759669591 Enrollment ID: I20161028000773 |
| Provider Name | Arianna M Nieto Meraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932546280 PECOS PAC ID: 3870722838 Enrollment ID: I20161108001906 |
| Provider Name | Mark D Fierro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720425242 PECOS PAC ID: 1658677737 Enrollment ID: I20161129000645 |
| Provider Name | Mangesh Bhatta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588921597 PECOS PAC ID: 8325351463 Enrollment ID: I20170208002451 |
| Provider Name | Ronia Ann Chackanad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902246275 PECOS PAC ID: 1355574294 Enrollment ID: I20170220000662 |
| Provider Name | Pooja Pundhir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184027815 PECOS PAC ID: 0446546907 Enrollment ID: I20170503000362 |
| Provider Name | Matthew R Middaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528325586 PECOS PAC ID: 5698082147 Enrollment ID: I20171127001219 |
| Provider Name | Christopher Ivan Karmout |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881074581 PECOS PAC ID: 6002111739 Enrollment ID: I20171213000734 |
| Provider Name | Vivek Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508123134 PECOS PAC ID: 9436462462 Enrollment ID: I20180213001974 |
| Provider Name | Saad Yousuf Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457607947 PECOS PAC ID: 6507171535 Enrollment ID: I20180510001215 |
| Provider Name | Emmanuel Rodriguez-vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992144414 PECOS PAC ID: 8224393517 Enrollment ID: I20180608000153 |
| Provider Name | Hammad Salim Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528452505 PECOS PAC ID: 0244541753 Enrollment ID: I20180712002573 |
| Provider Name | Pierre F Beaufond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023405388 PECOS PAC ID: 8123325305 Enrollment ID: I20180719000562 |
| Provider Name | Kazi A Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235269705 PECOS PAC ID: 0143316059 Enrollment ID: I20180730002517 |
| Provider Name | Jonathan M Rush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447678685 PECOS PAC ID: 0941428965 Enrollment ID: I20180803000847 |
| Provider Name | Muhammad Omar Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356647978 PECOS PAC ID: 4789828732 Enrollment ID: I20180806001084 |
| Provider Name | Omar Nidal Shuaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154715605 PECOS PAC ID: 5395093389 Enrollment ID: I20180808000532 |
| Provider Name | Kayla Marie Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649658956 PECOS PAC ID: 1759639669 Enrollment ID: I20180809004220 |
| Provider Name | Ramesh Kumar Tentu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376898098 PECOS PAC ID: 6002056942 Enrollment ID: I20180814000448 |
| Provider Name | Anil Rathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215321492 PECOS PAC ID: 0244589877 Enrollment ID: I20180815002086 |
| Provider Name | Nida Zehra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578853008 PECOS PAC ID: 0345484358 Enrollment ID: I20180821001447 |
| Provider Name | Karime Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215312707 PECOS PAC ID: 9739438904 Enrollment ID: I20180821002508 |
| Provider Name | Thao P Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003203662 PECOS PAC ID: 8921310913 Enrollment ID: I20180829001141 |
| Provider Name | Ashok K Mudundi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740287663 PECOS PAC ID: 8820027188 Enrollment ID: I20180830002680 |
| Provider Name | Zachary J Robkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063899805 PECOS PAC ID: 0840583423 Enrollment ID: I20180831000640 |
| Provider Name | Phuong T Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073889218 PECOS PAC ID: 8325280803 Enrollment ID: I20180831002365 |
| Provider Name | Nadeem Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427302025 PECOS PAC ID: 9830314640 Enrollment ID: I20180904001576 |
| Provider Name | Kirankumar A Prajapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205193034 PECOS PAC ID: 3779899406 Enrollment ID: I20180905000587 |
| Provider Name | Aman Katyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336536812 PECOS PAC ID: 7517274335 Enrollment ID: I20180906000675 |
| Provider Name | Behnam Majd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588044358 PECOS PAC ID: 9638464530 Enrollment ID: I20180914000485 |
| Provider Name | Fatlind Zhuta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205124617 PECOS PAC ID: 0244458917 Enrollment ID: I20181107001313 |
| Provider Name | Maxia M Mceachron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235513029 PECOS PAC ID: 2860707049 Enrollment ID: I20181112000524 |
| Provider Name | Srikanth Nimmagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477788842 PECOS PAC ID: 7416107545 Enrollment ID: I20181114002804 |
| Provider Name | Elvin Thomas Varughesekutty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679955900 PECOS PAC ID: 2769783828 Enrollment ID: I20181212001116 |
| Provider Name | Hussain Shabbir Malbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306228150 PECOS PAC ID: 0042566432 Enrollment ID: I20190328000018 |
| Provider Name | Kamil Talal Jaber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255714820 PECOS PAC ID: 6406107705 Enrollment ID: I20190516000446 |
| Provider Name | Dmitri Nikolaenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033471834 PECOS PAC ID: 2264675248 Enrollment ID: I20190717001891 |
| Provider Name | Camille Ayoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851746077 PECOS PAC ID: 7113253667 Enrollment ID: I20190723000125 |
| Provider Name | Sami Joseph Bedri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134574023 PECOS PAC ID: 1951638147 Enrollment ID: I20190812000274 |
| Provider Name | Omar Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144630856 PECOS PAC ID: 2365716321 Enrollment ID: I20190822002818 |
| Provider Name | Eloy Md Galvan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730541137 PECOS PAC ID: 1951630235 Enrollment ID: I20190911003456 |
| Provider Name | Arun Kumar Durgam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619225422 PECOS PAC ID: 9032336151 Enrollment ID: I20190926000484 |
| Provider Name | Shadi Khir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902160534 PECOS PAC ID: 4486969797 Enrollment ID: I20191021002688 |
| Provider Name | Tania Jesmine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205299898 PECOS PAC ID: 4587901954 Enrollment ID: I20200123002434 |
| Provider Name | Anu Sahore Salwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972957413 PECOS PAC ID: 7810280476 Enrollment ID: I20200228000237 |
| Provider Name | Ramani P Perla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548558307 PECOS PAC ID: 9931326188 Enrollment ID: I20200303000177 |
| Provider Name | Sudhakar V Devathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073767323 PECOS PAC ID: 1850567256 Enrollment ID: I20200304000767 |
| Provider Name | Baby Kodali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664161 PECOS PAC ID: 9830341627 Enrollment ID: I20200401000630 |
| Provider Name | Vinod Yalamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164775011 PECOS PAC ID: 8729395389 Enrollment ID: I20200504000583 |
| Provider Name | Scott Sepehr Shafiei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487187449 PECOS PAC ID: 0345518718 Enrollment ID: I20200806002244 |
| Provider Name | Mohammad A Sadat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679987853 PECOS PAC ID: 7911258421 Enrollment ID: I20200810002030 |
| Provider Name | Milan R Raythatha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760910806 PECOS PAC ID: 2961822150 Enrollment ID: I20201015001372 |
| Provider Name | Ryan Purkhiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427584689 PECOS PAC ID: 3375811276 Enrollment ID: I20201028001478 |
| Provider Name | Himan Goli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558679993 PECOS PAC ID: 6901047570 Enrollment ID: I20201119002377 |
| Provider Name | Vinh Tran Trinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447581301 PECOS PAC ID: 1557486370 Enrollment ID: I20201120002335 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659956 PECOS PAC ID: 3274828173 Enrollment ID: I20201207000134 |
| Provider Name | Lisa Marie Gleitmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952643678 PECOS PAC ID: 9830469683 Enrollment ID: I20201214002798 |
| Provider Name | Kiran Ghimire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285124271 PECOS PAC ID: 4789088519 Enrollment ID: I20210802001427 |
| Provider Name | Mark Nicholas Ziats |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356790091 PECOS PAC ID: 5597050005 Enrollment ID: I20210805002578 |
| Provider Name | Gayathri Devi Kalva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851755185 PECOS PAC ID: 6901221126 Enrollment ID: I20211104002419 |
| Provider Name | Priti A Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932517968 PECOS PAC ID: 1456644665 Enrollment ID: I20211201002360 |
| Provider Name | Alexandra Esther Grieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003349853 PECOS PAC ID: 5698048056 Enrollment ID: I20220125000591 |
| Provider Name | Muhammad Nabil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780048181 PECOS PAC ID: 3971859612 Enrollment ID: I20220209001975 |
| Provider Name | Raghav R Chintalapally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619123775 PECOS PAC ID: 6800085598 Enrollment ID: I20220218001110 |
| Provider Name | Hussein A Al Jobori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801327994 PECOS PAC ID: 2163790296 Enrollment ID: I20220601002816 |
| Provider Name | Ha Linh Phan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134547078 PECOS PAC ID: 3476858929 Enrollment ID: I20220609001790 |
| Provider Name | Jeremy Polman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659831360 PECOS PAC ID: 9335476290 Enrollment ID: I20220716000114 |
| Provider Name | Karrar Al Gburi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720583933 PECOS PAC ID: 6204231202 Enrollment ID: I20220913001655 |
| Provider Name | Alvin Troy Buemio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699235242 PECOS PAC ID: 5991180697 Enrollment ID: I20220916000277 |
| Provider Name | Trung T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639631492 PECOS PAC ID: 8325377815 Enrollment ID: I20220916001132 |
| Provider Name | Lauren Amanda Lyssy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679130124 PECOS PAC ID: 0345573036 Enrollment ID: I20220921001936 |
| Provider Name | Vyshnavi Kone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225529712 PECOS PAC ID: 6709262736 Enrollment ID: I20220928003568 |
| Provider Name | Azeen Anjum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285297994 PECOS PAC ID: 8921484825 Enrollment ID: I20220929002624 |
| Provider Name | Charles E Koftan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477683217 PECOS PAC ID: 3870542848 Enrollment ID: I20221006000054 |
| Provider Name | Lauren Ashley Hutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245762327 PECOS PAC ID: 0648540138 Enrollment ID: I20221013001112 |
| Provider Name | Joe Maalouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245682640 PECOS PAC ID: 5597095455 Enrollment ID: I20221108001907 |
| Provider Name | Austin G Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699216846 PECOS PAC ID: 2860764636 Enrollment ID: I20221123000608 |
| Provider Name | Rashid Mansur Kikhia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770920613 PECOS PAC ID: 8325280266 Enrollment ID: I20221129002406 |
| Provider Name | Alexa Brynn Papaila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881254357 PECOS PAC ID: 5597099283 Enrollment ID: I20221229000084 |
| Provider Name | Shalini Durgam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821558644 PECOS PAC ID: 5395079156 Enrollment ID: I20230222000617 |
| Provider Name | Venkata Ram Prasad Thota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699009043 PECOS PAC ID: 1254595432 Enrollment ID: I20230328001191 |
| Provider Name | Jeffrey Dylan Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413293 PECOS PAC ID: 8729333778 Enrollment ID: I20230411003047 |
| Provider Name | Srinandan Sathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952939019 PECOS PAC ID: 4880055680 Enrollment ID: I20230726001833 |
| Provider Name | Nsibisi Uja Eneyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104454198 PECOS PAC ID: 2860810694 Enrollment ID: I20230727000293 |
| Provider Name | Ahmed A Jaradat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780994426 PECOS PAC ID: 3274760814 Enrollment ID: I20230809001967 |
| Provider Name | Sarah Elzubeir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891323366 PECOS PAC ID: 6709248628 Enrollment ID: I20230809002578 |
| Provider Name | Kevin Halili Sunga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760010151 PECOS PAC ID: 8123459534 Enrollment ID: I20230912000577 |
| Provider Name | Pardeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194353227 PECOS PAC ID: 2567884810 Enrollment ID: I20230925003760 |
| Provider Name | Spoorti Gangadhar Sarode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295344471 PECOS PAC ID: 6002260650 Enrollment ID: I20230929002620 |
| Provider Name | Jaya Rajeswari Pitchika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831710573 PECOS PAC ID: 2567810856 Enrollment ID: I20231127003228 |
| Provider Name | Grenita Gjyriqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912467739 PECOS PAC ID: 5991048001 Enrollment ID: I20231219004207 |
| Provider Name | Khadia M Phillip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578975835 PECOS PAC ID: 5991090656 Enrollment ID: I20240103003306 |
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