A | B | C | D | E | F | G | H | I | J | K | |
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1 | BLAU SYNDROME DOCTOR REFERRAL FORM | ||||||||||
2 | Thank you for your contribution to the Blau Syndrome Doctor Referral Form. Many families need access to medical providers with expertise in supporting patients with Blau Syndrome and your input will be a tremendous help. Please complete the information below to the best of your ability. Please not that the specialists listed below are not endorsed by the Foundation. If you have any questions, email blaufoundation@gmail.com. You are also welcome to email us your recommendation and we will add the information for you! | ||||||||||
3 | LAST NAME | FIRST NAME | SPECIALTY | HOSPITAL | ADDRESS | CITY | STATE | COUNTRY | CONTACT | RECOMMENDED BY | COMMENTS (Optional) |
4 | Bhola | Rahul | Ophthalmology | CHOC | 1120 W. La Veta | Orange | CA | United States | (714) 509-4490 | DJ Harrod and Erica Howell | |
5 | Thatayatikom | Akaluck | Rheumatology | University of Florida | 1600 SW Archer Road | Gainsville | FL | United States | (352) 294-5252 | DJ Harrod | |
6 | Thatayatikom | Akaluck | Allergy/Immunology | University of Florida | 1600 SW Archer Road | Gainsville | FL | United States | (352) 294-5252 | DJ Harrod | |
7 | Leveque | Thella | Ophthalmology | Eye Institute at Harborview | Ninth & Jefferson Building, 908 Jefferson St. | Seattle | WA | United States | (206) 520-5000 | Ky Davis | |
8 | Mudumbai | Raghu | Ophthalmology | Eye Institute at Harborview | Ninth & Jefferson Building, 908 Jefferson St. | Seattle | WA | United States | (206) 520-5000 | Ky Davis | Speaks English & Hindi |
9 | Carkin | Julie | Rheumatology | Rheumatology Clinic at Northwest Outpatient Medical Center | 10330 Meridian Ave. N, Suite 250 | Seattle | WA | United States | (206) 668-6123 | Ky Davis | Currently accepting returning patients only |
10 | Peck | Anders | Rheumatology | Rheumatology Clinic at Northwest Outpatient Medical Center | 10331 Meridian Ave. N, Suite 250 | Seattle | WA | United States | (206) 668-6123 | Ky Davis | Accepting new patients |
11 | Saraf | Steven | Ophthalmology | Medical Eye Center | 1333 E Barnett Rd | Medford | OR | United States | (541) 779-4711 | Ky Davis | I saw Dr. Saraf at the UW Karalis Johnson eye center- very good doctor, very familiar with Blau Syndrome. I was disappointed when he moved to Medford! |
12 | Nash | Robert | Ophthalmology | Pacific Northwest Retina | 1229 Madison St., Suite 620 | Seattle | WA | United States | (800) 331-3719 | Ky Davis | Practices in Bellevue, Mountlake Terrace, Seattle, and Burlington |
13 | Pepple | Kathryn | Ophthalmology | Karalis Johnson Retina Center at South Lake Union | 750 Republican Street, Building F | Seattle | WA | United States | (206) 520-8300 | Ky Davis | |
14 | Wampler-Muskardin | Theresa | Rheumatology | NYU | 535 E 70th St 6th floor, | New York | NY | United States | (646) 797-8424 | ||
15 | Graham | Thomas | Rheumatology | Vanderbilt Childrens Hospital | 2200 Childrens Way #11 | Nashville | TN | United States | (615) 322-4397 | ||
16 | Sergent | John | Rheumatology | Vanderbilt | 1301 Medical Center Drive | Nashville | TN | United States | (615) 322-3732 | ||
17 | Conway | Mandi | Ophthalmology | AZ retinal specialists | 13624 W Camino Del Sol Suite 200B | Sun City West | AZ | United States | 623-474-3937 | Laura Royall | |
18 | Klein-Gitelman | Marisa | Rheumatology | Northwestern University | 225 E Chicago Ave, Chicago, IL 60611 | Chicago | IL | United States | 312-227-6270 | Annette Meyer | Pediatric Specialty |
19 | Goldstein | Debra | Ophthalmology | Northwestern University | 259 E Erie St Ste 1520 Lavin Family Pavilion Chicago IL 60611 | Chicago | IL | United States | tel:3126958150 | Annette Meyer | Specialty - occular inflammation and uveitis |
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