Kiru Korea Mendez, MD | |
222 South Herlong Ave., Rock Hill, SC 29732 | |
(803) 909-5937 | |
Not Available |
Full Name | Kiru Korea Mendez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 222 South Herlong Ave., Rock Hill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548399413 | NPI | - | NPPES |
5907178 | Medicaid | NC | |
N0043A | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2007-00432 (North Carolina) | Primary |
207R00000X | Internal Medicine | 35877 (South Carolina) | Secondary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Kiru Korea Mendez, MD 1370 W D St, North Wilkesboro, NC 28659-3506 Ph: (803) 909-5937 | Kiru Korea Mendez, MD 222 South Herlong Ave., Rock Hill, SC 29732 Ph: (803) 909-5937 |
Murad Abdelsalam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 Cardiology Dr, Rock Hill, SC 29732 Phone: 803-324-5135 Fax: 803-324-8161 | |
Talal Tarak Baki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 Cardiology Drive, Rock Hill, SC 29732 Phone: 803-324-5135 Fax: 803-324-8161 | |
Dr. James D Welsh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1583 Health Care Dr, Rock Hill, SC 29732 Phone: 803-329-7772 Fax: 803-329-9821 | |
Dr. Sreelatha Chalasani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 Arden Ln Ste 225, Rock Hill, SC 29732 Phone: 803-329-1660 Fax: 803-329-4118 | |
Myo M Nwe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 Arden Ln, #100, Rock Hill, SC 29732 Phone: 803-325-2236 Fax: 803-325-2234 | |
Randolph L Rodrigue, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 803-324-1449 | |
Dr. Patrick Thomas Ryan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 |