Dr Maged Mahmoud Ghanem, MD | |
232 W 25th St, Erie, PA 16544-0002 | |
(814) 452-5980 | |
(824) 452-5039 |
Full Name | Dr Maged Mahmoud Ghanem |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 232 W 25th St, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306854948 | NPI | - | NPPES |
001983676 | Medicaid | PA | |
1983676 | Other | PA | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD432272 (Pennsylvania) | Primary |
Entity Name | Lake Erie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053696997 PECOS PAC ID: 0749457612 Enrollment ID: O20120117000547 |
Mailing Address | Practice Location Address |
---|---|
Dr Maged Mahmoud Ghanem, MD Po Box 644850, Pittsburgh, PA 15264-4850 Ph: (412) 937-8887 | Dr Maged Mahmoud Ghanem, MD 232 W 25th St, Erie, PA 16544-0002 Ph: (814) 452-5980 |
Bushra Rizvi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 State St Ste 103a, Suite 103a, Erie, PA 16507 Phone: 814-877-8540 | |
Mr. Pradeep Dayanand, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2315 Myrtle St Ste 190, Erie, PA 16502 Phone: 814-453-7767 Fax: 814-454-6667 | |
Dr. Theresa J Fryer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3317 Liberty St, Erie, PA 16508 Phone: 814-868-8531 Fax: 814-866-1439 | |
Mohamad Khaled Sabeh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste 190, Erie, PA 16502 Phone: 814-453-7767 Fax: 814-454-6667 | |
Dr. Edward C Clark, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 W 24th St, Suite 402, Erie, PA 16502 Phone: 814-453-6687 Fax: 814-456-4676 | |
Anne-marie Liszka, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Peninsula Dr Ste 202, Suite 202 And 203, Erie, PA 16505 Phone: 814-833-5381 | |
Dr. Dennis Michael Unks, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E 2nd St Fl 2, Erie, PA 16507 Phone: 814-456-8980 Fax: 814-451-0443 |