MOHANED SALIM SERDAH (NPI# 1841819653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841819653 |
| Entity Type | Individual |
| Full Name | MOHANED SALIM SERDAH |
| Credential | MD |
| Practice Address |
601 Elmwood Avenue Ac-5 General Medicine Clinic 696 Rochester NY 14642 |
| Mailing Address |
57 Woodcrest Dr Waterbury CT 06708-2198 |
| Practice Telephone | 5852755681 |
| Practice Fax Number | 5852731041 |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
601 ELMWOOD AVENUE AC-5 GENERAL MEDICINE CLINIC 696 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144202607 | Aram Francis Hezel | Internal Medicine | 601 Elmwood Avenue, Box 704, Rochester, NY 14642 | 2005-11-18 |
| 1235753625 | Anjili S Vara | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Pediatric Residency Program, Rochester, NY 14642 | 2020-06-02 |
| 1922628205 | Aditya Upadhyay | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Rochester, NY 14642 | 2020-04-16 |
| 1174142988 | Helia Zand | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-11 |
| 1801427869 | Nicole Elizabeth Graziadei | Nurse Practitioner | 601 Elmwood Avenue, Rochester, NY 14642 | 2020-01-29 |
| 1689134140 | Derek Schloemann | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Rochester, NY 14642 | 2019-03-21 |
| 1073004453 | Gabrielle Santangelo | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Neurosurgery Department, Rochester, NY 14642 | 2018-05-22 |
| 1467959924 | Siobahn Morgan Evans | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Box Med, Rochester, NY 14624 | 2018-04-11 |
| 1396250635 | Li Liu | Pathology | 601 Elmwood Avenue, University of Rochester Medical Center, Rochester, NY 14642-0001 | 2017-12-08 |
| 1730614843 | Caroline Rb Donohue | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Rochester, NY 14642 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1497362925 | Alexandra Michelle Hasiotis | Student in an Organized Health Care Education/Training Program | 36 Copperfield Rd, Rochester, NY 14615-1102 | 2020-09-29 |
| 1750905873 | Anna C Lin | Student in an Organized Health Care Education/Training Program | 419 7th Ave Sw, Rochester, MN 55902-3216 | 2020-06-04 |
| 1558985101 | Erin Marissa Hannigan | Student in an Organized Health Care Education/Training Program | 4802 8th St Sw, Rochester, MN 55902-8711 | 2020-05-29 |
| 1710501408 | Anna Dowling | Student in an Organized Health Care Education/Training Program | 609 E 2650 North Rd, Rochester, IL 62563-8108 | 2020-05-29 |
| 1689296386 | Bryan Liming Jan | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 632, Rochester, NY 14642-0001 | 2020-05-15 |
| 1780206474 | Robert Tainsh | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box 604, Rochester, NY 14642-0001 | 2020-05-15 |
| 1578185302 | Shaahin Dadjoo | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave Ofc 683, Rochester, NY 14620-2913 | 2020-05-14 |
| 1578185534 | Starling Tolliver | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # Ac-5696, Rochester, NY 14642-0001 | 2020-05-13 |
| 1548882707 | Christian A Archer | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Hh 37, Rochester, NY 14642-0001 | 2020-05-11 |
| Find all providers in ROCHESTER | ||||
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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.