| Maher Roman Md Inc | |
|
5900 Brockton Ave Riverside CA 92506-1862 | |
| (951) 275-8400 | |
| Not Available |
| Full Name | Maher Roman Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5900 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Maher Roman (PRESIDENT) |
| Authorized Official Contact | 9092261815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maher Roman Md Inc 11812 Landsdown Rd Loma Linda CA 92354-4162 Ph: (909) 226-1815 | Maher Roman Md Inc 5900 Brockton Ave Riverside CA 92506-1862 Ph: (951) 275-8400 |
| NPI Number | 1053822262 |
|---|---|
| Provider Enumeration Date | 10/14/2017 |
| Last Update Date | 12/27/2023 |
| Medicare PECOS PAC ID | 7012275738 |
|---|---|
| Medicare Enrollment ID | O20171228002948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053822262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A49869 (California) | Primary |
| Provider Name | Maher A Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649362013 PECOS PAC ID: 8527197151 Enrollment ID: I20100520000207 |
| Provider Name | Shaun P Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265864557 PECOS PAC ID: 4880097815 Enrollment ID: I20210728000791 |
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