Ahmad B Faridi, MD | |
300 Prosperity Lane, Suite 203, Logan, WV 25601 | |
(304) 752-8800 | |
(304) 758-9000 |
Full Name | Ahmad B Faridi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 300 Prosperity Lane, Logan, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760426068 | NPI | - | NPPES |
7100168950 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 42343 (Kentucky) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 22245 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Virginia Dialysis | Logan, WV | Dialysis facility |
Davita South Williamson Dialysis | South williamson, KY | Dialysis facility |
Logan Regional Medical Center | Logan, WV | Hospital |
Tug Valley Arh Regional Medical Center | South williamson, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern West Virginia Nephrology Associates | 0345421046 | 2 |
Southern West Virginia Nephrology Associates | 0345421046 | 2 |
Entity Name | Apogee Medical Group West Virginia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669708442 PECOS PAC ID: 0941343255 Enrollment ID: O20100209000644 |
Entity Name | Southern West Virginia Nephrology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346541281 PECOS PAC ID: 0345421046 Enrollment ID: O20110301000691 |
Mailing Address | Practice Location Address |
---|---|
Ahmad B Faridi, MD 300 Prosperity Ln, Suite 203, Logan, WV 25601-3743 Ph: (304) 752-8800 | Ahmad B Faridi, MD 300 Prosperity Lane, Suite 203, Logan, WV 25601 Ph: (304) 752-8800 |
Sathishchandra N Rao, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6255 Fax: 304-792-6290 | |
Fernando Luis Gonzalez-ramos, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Drive, Suite 101, Logan, WV 25601 Phone: 304-831-0450 Fax: 304-831-0452 | |
Robert Perez, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1630 Fax: 304-831-1634 | |
Radhakrishna Kukkillaya, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6282 Fax: 304-792-6290 | |
Dr. Chris Mccoy, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 557 Main St, Logan, WV 25601 Phone: 304-896-5001 | |
Dr. Raymond Omar Rushden, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 140 Stollings Ave Ste 2, Logan, WV 25601 Phone: 304-752-8400 Fax: 304-752-8419 | |
John T Tiano, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Drive, Logan, WV 25601 Phone: 304-831-1602 Fax: 304-831-1605 |