Javed Abdullah, MD | |
4250 Bethel Rd, 5th Floor, Olive Branch, MS 38654-8737 | |
(901) 763-0200 | |
(901) 761-4002 |
Full Name | Javed Abdullah |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 25 Years |
Location | 4250 Bethel Rd, Olive Branch, Mississippi |
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 |
---|---|---|---|
1184801367 | NPI | - | NPPES |
6041886 | Other | TN | BCBS |
06926726 | Medicaid | MS | |
Q002944 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 50265 (Tennessee) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 23973 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Specialty Physician Group Llc | 9537291323 | 93 |
Specialty Physician Group Llc | 9537291323 | 93 |
Entity Name | Specialty Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174842181 PECOS PAC ID: 9537291323 Enrollment ID: O20100714000297 |
Mailing Address | Practice Location Address |
---|---|
Javed Abdullah, MD Po Box 1000, Dept # 960, Memphis, TN 38148-0001 Ph: (901) 763-0200 | Javed Abdullah, MD 4250 Bethel Rd, 5th Floor, Olive Branch, MS 38654-8737 Ph: (901) 763-0200 |
Dr. Ajay Narayan Venkatanarayan, Internal Medicine Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 201, Olive Branch, MS 38654 Phone: 901-763-0200 Fax: 901-761-4002 | |
Charles H. Fraga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Dr. Shailesh Mansukh Patel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Jawwad Yusuf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd Fl 5, Olive Branch, MS 38654 Phone: 901-763-0200 Fax: 901-761-4002 | |
Wendy Michelle Ballenger, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7148 Kerr Street Place, Suite 110, Olive Branch, MS 38654 Phone: 662-222-6724 Fax: 901-350-5024 | |
James Riddell Lewis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 |