KOMAL EJAZ (NPI# 1518522598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518522598 |
| Entity Type | Individual |
| Full Name | KOMAL EJAZ |
| Credential | M.D. |
| Practice Address |
111 N Washington Avenue Scranton PA 18503 |
| Mailing Address |
1703 Tall Trees Drive Scranton PA 18505 |
| Practice Telephone | 5705915153 |
| Mailing Telephone | 5709049583 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MT217441 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
111 N WASHINGTON AVENUE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164913950 | Nirajan Regmi | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Scranton, PA 18503 | 2018-05-29 |
| 1649832718 | Mahtalash Mazhar Hoque | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Suite 1, Scranton, PA 18503 | 2019-06-28 |
| 1548825904 | Fareeha Mubin | Internal Medicine | 111 N Washington Avenue, Suite 1, Scranton, PA 18503 | 2019-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
| 1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
| 1942866124 | Kashyap Devendrabhai Kela | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center, Suite 1, Scranton, PA 18503 | 2019-05-14 |
| 1265097778 | Mary Ann Sheerer | Registered Nurse | Geisinger Women's Health Obgyn Clinic, 531 Mount Pleasant Drive, 2nd Floor, Scranton, PA 18503 | 2019-05-09 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1013407253 | Ashwin Thatti | Student in an Organized Health Care Education/Training Program | 111 N. Washington Avenue, Scranton, PA 18503 | 2018-05-14 |
| 1972093474 | Anjalika Gupta | Student in an Organized Health Care Education/Training Program | The Wright Center for Graduate Medical Education, 111 N Washington Ave, Scranton, PA 18503 | 2018-05-10 |
| 1073002085 | Mousa Thalji | Student in an Organized Health Care Education/Training Program | 111 N. Washington Ave., Scranton, PA 18503 | 2018-05-04 |
| 1861999849 | Tomara Wilding | Counselor | 201 Lackawanna Ave Ste 302, Scranton, PA 18503 | 2018-04-06 |
| 1922505973 | Alan Godfrey Davis | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, Floor 1, Scranton, PA 18503 | 2018-04-06 |
| Find all providers in zip 18503 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862259 | Princy Kanakkumar Shah | Internal Medicine | Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 | 2020-02-07 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1467958025 | Hamza Hafeez | Internal Medicine | The Wright Center, 111 N. Washington Avenue, Suite 1, Scranton, PA 18503 | 2018-04-03 |
| 1346772027 | Nirali Pravinchandra Patel | Internal Medicine | 5 South Washington Ave, Suite 1000, Scranton, PA 18505 | 2017-03-31 |
| 1821538281 | Kristina Tanovic | Internal Medicine | 501 South Washington Ave, Suite 100 The Wright Center F, Scranton, PA 18505 | 2017-03-06 |
| 1982951711 | Chandrasekharreddy Navuluri | Internal Medicine | 403 Crestedge Mnr, Scranton, PA 18505-2379 | 2012-08-10 |
| 1740535004 | Deobrat Chandra Mallick | Internal Medicine | 205 Tall Trees Dr, Scranton, PA 18505-2239 | 2012-07-23 |
| 1205190055 | Sherine Tadros | Internal Medicine | 800 James Ave, Apt# 2222, Scranton, PA 18510-1551 | 2012-06-26 |
| 1528339439 | Edward Jan Zaloga | Internal Medicine | 1371 N Washington Ave, Scranton, PA 18509-2840 | 2012-01-24 |
| 1558631390 | Lekshminarayan Raghavakurup | Internal Medicine | 2000 Tall Trees Dr, 504 Tall Trees Apt, Scranton, PA 18505-2204 | 2012-01-11 |
| Find all providers in SCRANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.