| Vijay Ganatra, M.d., P.a. | |
|
13770 Plantation Rd Unit 4 Fort Myers FL 33912-4460 | |
| (239) 561-6263 | |
| (239) 561-6264 |
| Full Name | Vijay Ganatra, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13770 Plantation Rd, Fort Myers, Florida |
| Authorized Official Name and Position | Vijay D Ganatra (PRESIDENT) |
| Authorized Official Contact | 2395616263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Ganatra, M.d., P.a. 13770 Plantation Rd Ste 4 Fort Myers FL 33912-4460 Ph: (239) 561-6263 | Vijay Ganatra, M.d., P.a. 13770 Plantation Rd Unit 4 Fort Myers FL 33912-4460 Ph: (239) 561-6263 |
| NPI Number | 1053434258 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/04/2018 |
| Medicare PECOS PAC ID | 4880727866 |
|---|---|
| Medicare Enrollment ID | O20100727000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053434258 | NPI | - | NPPES |
| 263735900 | Medicaid | FL | |
| DQ5776 | Other | FL | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME84201 (Florida) | Primary |
| Provider Name | Hesham Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346256419 PECOS PAC ID: 4981640299 Enrollment ID: I20050707000858 |
| Provider Name | Tanzeen Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437140480 PECOS PAC ID: 2567479512 Enrollment ID: I20060316000029 |
| Provider Name | Mark Norleans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841211208 PECOS PAC ID: 1153320601 Enrollment ID: I20061211000051 |
| Provider Name | Shaheen Faruque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386744639 PECOS PAC ID: 2264422989 Enrollment ID: I20070625000690 |
| Provider Name | William Richard Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073569141 PECOS PAC ID: 4082670740 Enrollment ID: I20090224000380 |
| Provider Name | Shapour Steve Mirmanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407375 PECOS PAC ID: 4789661802 Enrollment ID: I20100512001008 |
| Provider Name | Vijay D Ganatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215992144 PECOS PAC ID: 0547393522 Enrollment ID: I20100727001070 |
| Provider Name | Allen T Jacobs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467410464 PECOS PAC ID: 5799819314 Enrollment ID: I20100818000951 |
| Provider Name | Luis A Aponte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790818607 PECOS PAC ID: 7315047180 Enrollment ID: I20100920000991 |
| Provider Name | Archana R Mandala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235320615 PECOS PAC ID: 2961690102 Enrollment ID: I20110103000681 |
| Provider Name | Oscar H Rodriguez Siguenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275723991 PECOS PAC ID: 7810084274 Enrollment ID: I20110627000639 |
| Provider Name | Pedro L Llera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215160262 PECOS PAC ID: 3971752726 Enrollment ID: I20121011000268 |
| Provider Name | Munish Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851328363 PECOS PAC ID: 3971509464 Enrollment ID: I20130218000171 |
| Provider Name | Rachel Steinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679912596 PECOS PAC ID: 3072754407 Enrollment ID: I20130729000308 |
| Provider Name | Denise M Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215283783 PECOS PAC ID: 0345481339 Enrollment ID: I20130802000719 |
| Provider Name | Jose M Vazquez-cimadevilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366600496 PECOS PAC ID: 4082864996 Enrollment ID: I20140925002429 |
| Provider Name | Cindy Zughbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033400353 PECOS PAC ID: 5698995801 Enrollment ID: I20141009001275 |
| Provider Name | Charmy Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114214715 PECOS PAC ID: 8426279787 Enrollment ID: I20141030000531 |
| Provider Name | Christian M Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253959 PECOS PAC ID: 4880978311 Enrollment ID: I20170301001723 |
| Provider Name | Carmalee M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396714 PECOS PAC ID: 6507100385 Enrollment ID: I20181205001422 |
| Provider Name | Gerdie Jean-smith |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346669025 PECOS PAC ID: 0143535369 Enrollment ID: I20190218002663 |
| Provider Name | Yamilka Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760946255 PECOS PAC ID: 3678802592 Enrollment ID: I20190903000022 |
| Provider Name | Donatela Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710540745 PECOS PAC ID: 0648502534 Enrollment ID: I20191025001062 |
| Provider Name | Yanan Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285208702 PECOS PAC ID: 3870995095 Enrollment ID: I20210712000607 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |