Scharukh Jalisi (NPI# 1720040058, PAC ID# 5193703072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1720040058 |
| PAC ID by PECOS | 5193703072 |
| Professional Enrollment ID | I20050801000639 |
| Full Name | Scharukh Jalisi |
| Organization Legal Name | DRX UC WATERTOWN PC |
| Address |
376 Arsenal St Watertown MA 02472-2892 |
| Phone Number | 6179232273 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3476790163 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220086 | BETH ISRAEL DEACONESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1398 Massachusetts Ave, Arlington, MA 02476-4150 | 7816484572 | DRX UC WATERTOWN PC |
| 330 Brookline Ave, Boston, MA 02215-5400 | 6176677000 | HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC |
| 330 Brookline Ave, Boston, MA 02215-5400 | 6176672000 | BETH ISRAEL DEACONESS MEDICAL CENTER, INC |
| 376 Arsenal St, Watertown, MA 02472-2892 | 6179232273 | DRX UC WATERTOWN PC |
| Organization Legal Name | DRX UC WATERTOWN PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bolbotowski | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Deanna L Sumner | Nurse Practitioner | Drx Uc Watertown PC | 1398 Massachusetts Ave, Arlington, MA 02476-4150 |
| Tomas Lichauco | Family Medicine | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Thein Van V Cai | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Christine E Zack | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Amanda Stebbins | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Jenny Yap | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Ellen R Seitelman | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Hannah Johnson | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Street Address |
376 ARSENAL ST |
| City | WATERTOWN |
| State | MA |
| Zip | 02472-2892 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bolbotowski | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Tomas Lichauco | Family Medicine | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Thein Van V Cai | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Christine E Zack | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Amanda Stebbins | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Jenny Yap | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Ellen R Seitelman | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Hannah Johnson | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan Klagsbrun | Clinical Psychologist | 173 Mt Auburn St, Watertown, MA 02472 | |
| Linda K Crawford | Clinical Social Worker | 22 Mt Auburn St, Watertown, MA 02472 | |
| Paul F Kasuba | Internal Medicine | Mt Auburn Professional Services | 521 Mt Auburn St, Suite 202, Watertown, MA 02472 |
| Carol B Dorr | Clinical Social Worker | 41 Commonwealth Rd, Watertown, MA 02472-1318 | |
| Janet C Jameson | Psychologist, Clinical | 26 Winsor Ave, Watertown, MA 02472-1460 | |
| Deborah K Rosene | Psychologist, Clinical | 117 Highland Ave, Watertown, MA 02472-1642 | |
| George S. Stamatopoulos | Physical Therapy | 372 Main St, Watertown, MA 02472-2333 | |
| Lambia A Mitropoulos | Nurse Practitioner | Steward Medical Group Inc | 63 Pleasant St, Watertown, MA 02472-2386 |
| Rosemary E Corderi | Internal Medicine | Steward Medical Group Inc | 63 Pleasant St, Watertown, MA 02472-2386 |
| Renee Aversano | Internal Medicine | Steward Medical Group Inc | 63 Pleasant St, Watertown, MA 02472-2386 |
| Find all physicians in zip 02472 | |||
| City | WATERTOWN |
| Zip Code | 02472 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | WATERTOWN + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Scharukh Jalisi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.