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DELHI DEVELOPMENT AUTHORITY No. F.8(3)09-10/MC Dated OFFICE MEMORANDUM 17.10.2011

Sub: Empanelment of Hospitals and Diagnostic Centers under Delhi Development Authority for treatment and diagnostic procedures and fixation of package rates.

Vice Chairman, DDA has been pleased to approve empanelment / reempanelment of the Hospitals in Delhi and NCR, for OPD and Indoor treatment of DDA employees, Pensioners and their dependents at the

CGHS package rates and on the revised pattern of CGHS. The names and addresses of such Hospitals approved for empanelment (including those already empanelled vide O.M. No.F.8(3)09-10/MC/58 dated 28.4.2011) are given in Annexure A. Rest of the Hospitals empanelled vide O.M.

No.F.8(3)09-10/MC/1272 dated 14,10,2009, F.8(3)09-10/MC/1944 dated 24.12.2009 and O.M. No.F.8(3)09-10/1545 dated 30.11.2011 have been withdrawn from the approved panel. Accordingly it is imperative that DDA should follow the CGHS rates and CGHS instructions from time to time for its working mutatis mutandis. 2. (a) It is further clarified that: Package Rate appearing in the CGHS Rate List shall mean and

include lump sum cost of inpatient treatment / day care /diagnostic procedure for which the beneficiary has been admitted for treatment from the time of admission to the time of discharge including (but not limited to)

(i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patient's diet, (iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor /consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x) Transfusion charges,(xi) Anesthesia charges, (xii) Operation theatre charges, (xiii) Procedural charges / surgeons fee, (xiv)Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines, (xvi) Related routine and essential investigations, (xvii) Physiotherapy charges etc. (xviii) Nursing care and charges for its services. (b) Cost of Implants/stents/grafts is reimbursable in addition to package

rates as per CGHS ceiling rates for implants/stents/grafts or as per actual, in case there is no CGHS prescribed ceiling rates. (c) Treatment charges for new born baby are separately reimbursable in

addition to delivery charges for mother. d) Hospitals empanelled under DDA shall not charge more than the

package rates/ rates. (e) Expenses incurred on toiletries, cosmetics, telephone bills etc, are

not reimbursable and are not included in package rates. 3. Package rates envisage duration of indoor treatment as follows: Upto 12 days: for Specialized (Super Specialties) treatment Upto 7 days : for other Major Surgeries Upto 3 days : for Laparoscopic surgeries/ normal Deliveries 1 day : for day care / Minor (OPD) surgeries. 4. However, if the beneficiary has to stay in the hospital for his/her

recovery for period more than the period covered in the package rate, in

exceptional cases, supported by relevant medical records and certified as such by the hospital the additional reimbursement shall be limited to accommodation charges as per entitlement, investigations charges at approved rates and doctors visit charges (not more than 2 visits per day per visits by specialist/consultants) and cost of medicines for additional stay.

5.

No additional charge on account of extended period of stay shall be

allowed if that extension is due to infection on the consequences of surgical procedure or due to any improper procedure and is not justified as the same is as per terms & conditions of the empanelment of Hospitals with DDA.

6.

However, there are certain procedures where there is no prescribed

package rage under CGHS. Similarly there are medical emergencies where the treatment is mainly conservative. The admissible amount in such cases is calculated item wise, room rent, procedures, investigations etc. The revised rates of Room Rent for different type of category are as under: General ward Rs.1000/- per day. Semi-Private ward Rs.2000/- per day. Private ward Rs.3000/- per day.

7.(a) DDA beneficiaries are entitled to facilities of private, semi-private or general ward depending on their basic pay / pension. The entitlement of the ward is as follows:-

S.No. Basic Pay without the inclusion of grade Entitlement pay existing or at the time of retirement. 1. Upto Rs.13,950/General Ward 2. 3. Rs. 13,951/- to 19,530/Rs.19,540 and above Semi-private ward Private Ward

b) The package rates given in rate list are for semi-private ward.

c) It has now been decided that the DDA employees and pensioner beneficiaries taking treatment in the empanelled hospitals will be entitled for reimbursement after payment, as per the package rates/ rates of CGHS given on the web site at www.mohfw.nic.in/cghsnew|index.asp The package rates are for semi-private ward. If the beneficiary is entitled for general ward there will be a decrease of 10% in the rates; for private ward entitlement, there will be an increase of 15%. However, the rates shall be same for investigation irrespective of entitlement, whether the patient is admitted or not and the test, per-se, does not require admission to the Hospital. (d) A hospital empanelled under DDA whose normal rates for treatment

procedure / test are lower than the CGHS prescribed rates shall charge as per the rates charged by them for that procedure/treatment from a nonDDA/CGHS beneficiary and will furnish a certificate to the effect that the rates charged form the DDA beneficiaries are not more than the rates charged by them from non-DDA/CGHS beneficiaries. 8.(a) Private ward is defined as a hospital room where single patient is accommodated and which has an attached toilet (lavatory and bath). The

room should have furnishings like wardrobe, dressing table, bed-side table, sofa set, carpet etc. as well as a bed for attendant. The room has to be airconditioned. (b) Semi Private ward is defined as a hospital room where two to three

patients are accommodated and which has attached toilet facilities and necessary furnishings. (c) General ward is defined as halls that accommodate four to ten

patients. (d) Normally the treatment in higher Category of accommodation than

the entitled category is not permissible. However, in case of an emergency when the entitled category accommodation is not available, admission in the immediate higher category may be allowed till the entitled category accommodation becomes available. However, if a particular hospital does not have the ward as per entitlement of beneficiary, then the hospital can bill as per entitlement of the beneficiary even though the treatment was given in higher type of ward. 9. The beneficiary shall have the option of availing specific

treatment/investigation from any of the empanelled hospital of his her choice (provided the hospital is empanelled for that treatment procedure/test) 10. The hospitals shall entertain the patient directly and provide the

treatment on production of valid Medical Identity Cards issued by the DDA. 11. During in-patient treatment of the DDA beneficiary, the hospital will

not ask the beneficiary or his / her attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will

provide the treatment within the package rates fixed by the CGHS/DDA which includes the cost of all the items. 12. If one or more minor procedures form part of the major treatment

procedure, then package charges would be permissible for major procedure and only at 50% of charges for minor procedure. 13. Any legal liability arising out of such services shall be the sole with by the concerned empanelled

responsibility and shall be dealt hospital themselves. 14.

Services will be provided by the Hospitals as per the terms of

Agreement. 15. The hospitals will give a discount of 10% (Ten percent) on every cash

payment charged from the beneficiaries. 16. The Hospitals which are non-NABH at present will be allowed NonNABH rates. As and when they get NABH Accreditation, NABH rates will automatically be admissible/applicable in such cases. Similarly, Hospital getting Super-speciality status subsequently will automatically be allowed rates of the Super-speciality category. 17. Specialties covered under the Super-Speciality hospitals are Cardiology & Cardio-thoracic Surgery, Joint replacement surgery made under orthopaedics, Nephrology & Urology including renal transplantation, Endocrinology, Neurosurgery, Gastro-enterology & G.I. Surgery and Oncology. 18. This will supersede all earlier orders relating to empanelment of for Delhi,

Hospitals for specialized and General purpose treatment

Faridabad, Ghaziabad, Gurgaon, NOIDA areas etc. The empanelment of the lab/ Diagnostic Centre already done will, however, remain the same till further orders.

19.

A copy of this Office Memorandum along with specimen copy of

MOA (of CGHS) is placed on the internet at DDAs website dda.org.in 20. Cases not covered by the aforesaid guidelines will be regulated with

the approval of F.M., DDA being the competent authority.

For any clarification with regard to the above, orders of the Govt. of India Ministry of Health - CGHS on the subject may be referred to.

(PAWAN KUMAR) CHIEF ACCOUNTS OFFICER

(P.T.O)

Copy to : 1. OSD to Lt. Governor of Delhi; 2. OSD to VC, DDA; 3. OSD to FM, DDA; 4. PS to EM, DDA; 5. All Principal Commissioners; 6. Chief Vigilance Officer; 7. PS to CAO, DDA; 8. Chief Legal Advisor/ Chief Architect; 9. Commissioner-cum-Secretary; 10. All Commissioners; 11. All Chief Engineers; 12. FA(H)/Director(LC)/Director(IA)/Director(Finance)/Director(MM)/ Director(P)/Director(Works)/Director(W/C)/Director(Hort.)SE&N W; 13. All Dy.CAOs (HQ),Zones,Vig.,LC/Dy.FA(H)-I&II 14. Sr.AO (Contingency)/PAO(EW)/Sr.AO(PE); 15. Guard File 16. Notice Board

Dy. CAO (F&E)/NMS

ANNEXURE A List of the Hospitals empanelled with DDA

1.

Mohan Eye Institute, Ganga Ram Hospital Marg, New Delhi. Contact No. 25787655, 25852048

Eye Care Centre.

2.

Jeewan Nursing Home & Hospital, 2B Pusa Road, New Delhi.

General purpose

NABH

3.

Contact No. 9810289576, 42430246, 42430247, 48, 49 Goyal Eye Institute, East Patel Nagar, Eye Care Centre New Delhi. Contact No. 25888145, 9810132464 Primus Super Speciality Hospital, Chankya Puri, New Delhi. Contact No. 9911999384, 66206620, 66206630, 66206640 Chief Councellor 9999920206

Non-NABH

4.

Orthopedics

NABH

5.

Bansal Hospital, A-1, New Friends Colony. New Delhi. Contact No. 46583333 30 lines Dr. Kapurs The Healing Touch Eye Centre, D-8, Vikas Puri, New Delhi110018. Contact No.

Endoscopic surgery

Non-NABH

6.

Eye Care Centre

NON-NABH

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7.

285353083, 28537777 Kukreja Hospital & Heart Centre Pvt. Ltd., C-1, Vishal Enclave, Rajouri Garden, New Delhi27. Contact No. 45626100 (30 Lines), 45675000 Park Hospital, Meera Enclave (Chaukhandi), Near Keshopur Bus Depot, Out Ring Road, New Delhi110018. Contact No. 9911999384, 66206620, 66206630, 66206640 Chief Counselor 9999920206 Jeevan Anmol Hospital, Mayur Vihar Phase-I, Delhi-110091. Contact No. 9910040788, 22750380, 22795237 Kukreja Hospital, D-36, Acharya Niketan, Mayur Vihar, Phase- I, Delhi-91. Contact No. 22753123, 22752690, 22792352 Orthonova Hospital, C-5/29, S.D.A., Opp. Main IIT Gate, New Delhi110016.

Cardiological Investigation, Endoscopic surgery & eye.

Non-NABH

8.

General purpose including cardiology & cardiothoracic surgery.

NABH

9.

General purpose

Non-NABH

10.

Endoscopic surgery

Non-NABH

11.

Orthopaedics Arthroscopic and joint replacement surgery.

Non-NABH

12.

Contact No. 42012345 Satya Medical Centre, A-98A, Sector- Endoscopic surgery 34, NOIDA-201307. Contact No. 9810495424, 0120-4271801-08 Jain Hospital 177-78, Jagriti Enclave, Vikas Marg Ext., Delhi-110092. Contact No. 43055355, 22144946, 22146442 Sharp Eye Centre, 81, Defence

NABH

13.

Neurology & Neurosurgery.

Non-NABH

14.

Eye Care centre

Non-NABH

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Enclave, Vikas Marg, Delhi110092. Contact No. 9873320777, 22461134, 43073902, 43073906 Vision Eye Centre, 12/27, West Patel Nagar, Near Arya Samaj Mandir, New Delhi-110008

15.

Eye Care centre

Non-NABH

16.

Contact No. 25882129, 25882822 Delhi Heart & Lungs Institute, 3-mm- Cardiology & CardioII, Panchkuian Road, New Delhithoracic surgery 110055. Contact No. 9810979072, 42999999, Emergency Number 7838103103 Prakash Hospital, D-12, 12A & 12-B, Sector -33, NOIDA, G.B. Nagar, (UP)

NABH

17.

General purpose including joint replacement.

Non-NABH.

18.

Contact No. 0120-4016900 (30 lines) Khandelwal Hospital & Urology Urology Centre, B-16, Main Raod, East Krishna Nagar, Swaran Cinema Road, Delhi-110051. Contact No. 22094843, 22094844, 9212745662 Sanjeevan Medical Centre(P)Ltd. 24, Ansari Road, Darya Ganj, New Delhi110002. Contact No. 2751 0615, 23263319, 23279908 National Heart Institute, 49-50, Community Centre, East of Kailash, New Dlehi-110065. Contact No. 46606600, 46600700 Help Line65900900, 65900000 Surbhi Hospital, Morna, Golf Course

Non-NABH.

19.

Urology including dialysis & lithotripsy

Non-NABH

20.

Cardiology & Cardiovascular surgery.

NABH

21.

General Purpose.

Non-NABH

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Road, Sector-35, NOIDA. Contact No. (120)2508842, 2508844 Jeewan Mala Hospital, 67/1,New Rohtak Raod, New Delhi-110005 Contact No. 47774141, 23511474, to 23511477 Bajaj Eye Care Centre, 101, Vikas Surya Plaza, Plot No.7, DDA Community Centre, Rod No.44, Pitam -pura, Delhi-110034 Contact No. 9811260680, 27012054, 47024519 Chaudhary Eye Centre & Laser Vision, 4802, Bharat Ram Raod, Daryaganj, New Delhi110002. Contact No. 9717896107, 23243717, 23278423 Centre for Sight, B-5/24, Opp. Dear Park, Safdarjung Enclave, New Delhi Contact No. 26513723, 26513724, 46021583 Bhagwati Hospital, CS/OCF-6(Near Poular Apartment& Mother Dairy Booth) Sector-13, Rohini, Delhi110086 Contact No. 43126000, 43126100, 27554179, 27554182, 27868935 Navneesh Dental Clinic, Unit No.2, Bdgum Zaidi Market, Motibagh Part I, New Delhi-110021 Contact No. 24122433, 9810560566 Garg Hospital, 8-9, AGCR Enclave (Opp. Kakardooma Court) Delhi-

22.

General purpose including joint replacement

Non-NABH

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Eye Care Centre

Non-NABH

24.

Eye Care Centre

Non-NABH

25.

Eye Care Centre

Non-NABH

26.

Endoscopic surgery and eye care.

Non-NABH

27.

Dental Clinic

Non-NABH

28.

Endoscopic Surgery & Eye Care

Non-NABH

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110092. Contact No. 9891433555, 4327444444 SMH Curie Cancer Centre, shanty Mukand Hospital # 2, Institutional Area, Vikas Marg Ext. Karkardooma, Delhi110092. Contact No. 43006000 Dr. Patnaiks Laser Eye Institute, C-2, Ground Flloor, Lajpat Nagar-3, New Delhi-110024 Contact No. 41716088, 9810232030 B.M. Gupta Nursing Home Pvt. Ltd. H-11 to 15, Uttam Nagar, New Delhi110059 Contact No. 47157777, 47157728, 8800095870 Bhatia Global Hospital & EndoSurgery Institute, 305, 307 & 308. Contact No. 25270500, 25256408, 25270701, 02 Chandra Laxmi Hospital, Sector-4, Plot No.337, Vaishali Ghaziabad. Contact No. 0120-2894783, 84, 2773670-71 Dharmshilla Cancer Hospital, Vasundhara Enclave, Delhi. Contact No. 43066358, 43066359 Batra Hospital & Medical Research Centre, Tughlakabad Institutional Area, Mehauli Badarpur Raod, New Delhi-110062 Contact No. 29958747, 29957485,86 & 87

29.

Cancer treatment

Non-NABH

30.

Eye Care Centre

NABH

31

General Purpose

Non-NABH

32.

33.

Endoscopic/Laparosco pic surgery in the filed of surgery, Urology, gynaecology, oncology and plastic surgery etc. Laparoscopic surgery.

Non-NABH

Non-NABH

34.

Cancer treatment

NABH

35.

Oncology Superspeciality rate for NABH cancer Radiotherapy & Chemotherapy and procedures as per O.M. 23.6.2011. All other

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Kalra Hospital, Kirti Nagar, New Delhi-110015. Contact No. Ph.45005600 & 45005700 Metro Heart Institute with Multispeciality, Sector-16A, Faridabad. Contact No. Ph.0129-4277777

37.

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Sunder Lal Jain Hospital., Ashok Vihar Phase-III,Delhi-110052 Contact No. Ph.47030900 Sardana Eye Institute, Rajouri Garden, New Delhi-110027. Contact No. Ph.25436366, 25436870 & 41006366. QRG Central Hospital,69, Sector20A, Near Neelam Flyover, Ajronda Chowk, Mathura road, Faridabad121001. Contact No Ph. No. 01294090300-329, 310.

Services offered at NABH Rates. General purpose including cardiological investigations, cardiothoracic surgery and joint replacement. Cardiology & Cardiothoracic surgery and Pulmonary Function Test and all other facilities available at the hospital General Purpose and Cardiology & Cardiovascular Surgery and Orthopaedics Eye Care Centre

Non-NABH

Non-NABH

Non-NABH

39

Non-NABH

40

Multi-speciality General Purpose and specialized purpse in Cardiology, cardiovascular & Cardio thoracic surgery, Gastroenterology & GI Surgery, Orthopedic surgery including joint replacement, & Arthroscopic surgery, Neurology & Neurosurgery, Oncology (Surgery & chemotherapy) {Pediatric & {Pediatric Surgery Endoscopic

Non-NABH

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41.

Bharti Eye Foundation, 1/3, East Patel Nagar, New Delhi 110008 Contact No. Ph. No. 25889900, 25885533 Visitech Eye Centre, R-13, Greater Kailash I, New Delhi- 110048. Contact No. 41731777, 41731888.

surgery & ENT. Eye care Centre

Non-NABH

42

Eye Care Centre

Non-NABH

43

Umkal Healthcare Private Ltd., H block, Opp. Chancellor Club, Plaam Vihar Gurgaon, Contact No. 0124-4777000

44.

Max Super Specialty Hospital (East Block) ( A Unit of Devki Devi Foundation, 2- Press Enclave Road, Saket, New Delhi 110017. (Existing empanelment revised ) 27351844, 47351844, 9910493195 till 202, Duty Manage

Cardiology, Cardiovascular & Cardiothoracic surgery, endoscopic surgery and Medicine, Nephrology, Gastroenterology, Endoscopy, colonoscopy, ERCP, Critical Care, spinesurgery & joint replacement, Neonatology, Diagnostic Services; CT Scan, NCV studies, EEG Bronchoscopy, dialysis & Executive Health checkups. (i)Cardiology, Cardiac Thoracic & Cardiovascular Surgeries (ii) ICU/CCU Procedures (Special care cases) (iii)Nephrology & Urology (iv)Nuclear Medicine (a)Radio Isotope

Non-NABH

NABH rates of CGHS

Super Speciality Rates of CGHS

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45.

46.

Therapy (b)Linear Accelerator (c)BrachytherapyHigh Dose Radiation (d)Chemotherapy (v)Nephrological procedures Max Super Specialty Hospital (West i)Orthopedic & Joint NABH Rates Block) ( A Unit of Max Healthcare Replacement of CGHS Institute Ltd. 1- Press Enclave Road, Saket, New Delhi 110017. (ii) ICU/CCU Procedures (Special Super Contact No. care cases) Speciality 66115050, 6666, 4444, 5077, 4577, (iii)Nephrology & Rates of CGHS 4477 Urology (iv)Neurosurgery (v)Gastroenterology (vi)Nephrological procedures Max Super Speciality Hospital (A Unit i)Cardiology, Cardiac NABH Rates of Balaji Medical Diagnostic Research Thoracic & of CGHS Centre, 108 A, I.P. Ext. Patparganj, Cardiovascular New Delhi 110092. Surgeries, Orthopedic & Joint Replacement. Contact No. 430-33333, 30800, Duty Manager ii) ICU/CCU Procedures 9717755888, 22235563 (Special care cases) Super (iii)Nephrology & Speciality Urology rates of CGHS (iv)Neurosurgery (v)Nuclear Medicine (a) Radio Isotope Therapy (b)Linear Accelerator (c)BrachytherapyHigh dose radiation. (d)Chemotherapy. (vi) Gastroenterology

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(vii)Nephrological procedures

47.

Max Hospitals ( A Unit of Max i)Orthopedic & Joint Non-NABH Healthcare Institute Ltd. Near TV Replacement. Rates of CGHS Tower, Pitampura Wazirpur Distt. Centre, New Delhi- 10034. (Existing empanelment revised ) (ii) ICU/CCU Procedures (Special Contact No. care cases) Super 27351844, 47351844, 9910493195 (iii)Nephrology & Speciality to 202, Duty Manager Urology rates of CGHS (iv)Neurosurgery (v) Gastroenterology (vi)Nephrological procedures

48

Max Hospitals ( A unit of ALPS Hospitals Ltd.), Sushantlok Phase-I Gurgaon, Haryana. (Existing empanelment revised ) Contact No. 0124-6623000, 09911437161

i)Orthopedic & Joint NON-NABH Replacement. Rates of CGHS

49

(ii) ICU/CCU Procedures (Special care cases) (iii)Nephrology & Urology (iv)Neurosurgery (v) Gastroenterology (vi)Nephrological procedures Flt. Lt. Rajan Dhall Charitable Trust, 1. Cadiology & Sec.-B, Pocket -1, Aruna Asaf Ari Cardiothoracic Marg, Vasant Kunj, new Delhi-10020 Surgery and Orthopedics Contact No. 1. Neurosciences 42776222, 42776444 (Neurology & Neuro-surgery 2. Gastroenterolo gy(including G.I. Surgery) 3. Oncology

Super Speciality Rate of CGHS

NABH Rates of CGHS

Super speciality Rates of CGHS

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50

Escort Heart Institute & Research Centre Ltd., Okhla Road, New Delhi 110025. (Existing empanelment revised ) Contact No. 47135000, Emergency Number 42776444 Fortis International Hospital, B-22, Sector-62, Noida-201301 Contact No. 42776222, 42776444

(Onco-surgery, medical Oncology & Radiation Therapy) 4. Urology (including Kidney transplant) 1. Cadiology & NABH Cardiothoracic Rates of CGHS Surgery 2. Orthopedics

51.

1. Cadiology & NABH Cardiothoracic Rates of CGHS Surgery 2. Orthopedics 3. Neurosciences (Neurology & Super Neuro-surgery speciality 4. Gastroenterolo Rates of CGHS gy(including G.I. Surgery) 5. Oncology (Onco-surgery, medical Oncology & Radiation Therapy) 6. Urology (including Kidney transplant) 1. General Purpose including Cardiological Investigation, Cardio-thoracic NABH Rates of CGHS

52

Escort Hospital & Research Centre Ltd. Neelam Bata Road, Faridabad121001. (Existing empanelment revised )

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Contact No. 0129-2416096

surgery and Joint Replacement.

2. Neurosciences (Neurology & Neuro-surgery 53. Fortis Hospital, Shalimar Bagh, New Delhi-110052 Contact No. 45302222, 47884788 54. Fortis R.B. Seth Jessa Ram Hospital, WEA, Karol Bagh, New Delhi.-110055 Contact No. 45013222, Emergency - 42776444 1. Cadiology & Cardiothoracic Surgery 2. Orthopedics

Super Speciality rates.

Non-NABH rates of CGHS

1. Neurosciences (Neurology & Non Neuro-surgery) Rates 2. Gastroenterolo CGHS gy (including surgery) 3. Orthopedics 4. All other existing specialities.

NABH of

55.

Indraprastha Hospital, Okhla, Sarita Vihar, Delhi Mathura Raod, New Delhi-76. Contact No. 26925858, 26925801, 26825555

56

Moolchand Medicity, Lajpat Nagar III, New Delhi-24.

Cardiology, Cardiac Surgery, CardioThoracic & Vascular Super Surgery, Joint Speciality Replacement, Organ Rates Transplant (Renal & Liver transplant), all radiological investigations, Nuclear Medicine, Radiation Therapy, Laparoscopic Surgery, Urology, Lithotripsy and Dialysis . Cardiology & Cardio Thoracic Surgery, NABH Joint Replacement

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Contact No. 4200000

surgery, Ophthalmic Surgeries, ENT, Nephrology, Medical Oncology at NABH Category rates.

NOTE: The Hospitals at S.No.44 to 56 were empanelled vide office Memorandum No.F.8(3)09-10/MC/38 dated 28.4.2011

(PAWAN KUMAR) CHIEF ACCOUNTS OFFICER

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