Dana Fawzi Ghishan, MD is a
Pediatrics physician based in Bluefield, West Virginia. Dana Fawzi Ghishan is licensed to practice in West Virginia (license number 24903) and her current practice location is 500 Cherry St, Bluefield, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 327-1100.
NPI number for Dana Fawzi Ghishan is 1619228764 and her current mailing address is 611 Quail Dr, Bluefield, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619228764.
Physician's Profile
| Full Name | Dana Fawzi Ghishan |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 500 Cherry St, Bluefield, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619228764
- Provider Enumeration Date: 09/28/2012
- Last Update Date: 09/28/2012
Medical Identifiers
Medical identifiers for Dana Fawzi Ghishan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619228764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 24903 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dana Fawzi Ghishan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dana Fawzi Ghishan, MD
611 Quail Dr,
Bluefield, VA 24605-9411
Ph: (520) 664-7304 | Dana Fawzi Ghishan, MD
500 Cherry St,
Bluefield, WV 24701-3306
Ph: (304) 327-1100 |
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