Dr Ebrahim Nadeem Ghazali, MD | |
1049 Main St, Springfield, MA 01103-2114 | |
(413) 739-1100 | |
(413) 735-1133 |
Full Name | Dr Ebrahim Nadeem Ghazali |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1049 Main St, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194110379 | NPI | - | NPPES |
110168272A | Medicaid | MA | |
R7999 | Other | TX | TEXAS MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R7999 (Texas) | Secondary |
208000000X | Pediatrics | 295186 (Massachusetts) | Primary |
Entity Name | Vpa Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
Entity Name | Drynachan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20170610000024 |
Entity Name | Open Arms Healthcare Of Texas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639656325 PECOS PAC ID: 9436400579 Enrollment ID: O20180928000718 |
Mailing Address | Practice Location Address |
---|---|
Dr Ebrahim Nadeem Ghazali, MD 1049 Main St, Springfield, MA 01103-2114 Ph: (413) 739-1100 | Dr Ebrahim Nadeem Ghazali, MD 1049 Main St, Springfield, MA 01103-2114 Ph: (413) 739-1100 |
Adam Gregory Wychowski, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St Ste 207, Springfield, MA 01107 Phone: 413-739-0669 Fax: 413-739-0621 | |
Regina Kruczynska, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 299 Carew St, Springfield, MA 01104 Phone: 413-734-6461 | |
Stephen A Lieberman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-5370 Fax: 413-794-9748 | |
Jeffrey Walbridge, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-0000 | |
Judith E Blumhofer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 High Street, Springfield, MA 01199 Phone: 413-794-2515 Fax: 413-794-5673 | |
Danielle B. Gibbs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 High St, Springfield, MA 01105 Phone: 413-794-2515 Fax: 413-794-5673 | |
Krista Turner Kitchen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-3233 |