Vidur Pravin Ghantiwala, DO | |
4513 Executive Dr, Naples, FL 34119-9033 | |
(239) 591-2803 | |
Not Available |
Full Name | Vidur Pravin Ghantiwala |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 4513 Executive Dr, Naples, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043710981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | OS18179 (Florida) | Primary |
Entity Name | Korunda Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609056282 PECOS PAC ID: 5092895334 Enrollment ID: O20071228000056 |
Mailing Address | Practice Location Address |
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Vidur Pravin Ghantiwala, DO 4513 Executive Dr, Naples, FL 34119-9033 Ph: (239) 591-2803 | Vidur Pravin Ghantiwala, DO 4513 Executive Dr, Naples, FL 34119-9033 Ph: (239) 591-2803 |
Dr. Eduardo F Figueroa, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3785 Airport Pulling Rd, Suite A Eduardo F Figueroa, Naples, FL 34105 Phone: 239-435-1610 Fax: 239-435-1612 | |
Prathima Moorthy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4760 Tamiami Trail North, Suite 27, Naples, FL 34109 Phone: 239-593-9594 Fax: 239-593-4099 | |
Dr. Luga Podesta, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1875 Veterans Park Dr Ste 2201, Naples, FL 34109 Phone: 239-631-1960 Fax: 239-631-5967 | |
Amanda Blaire Barrial, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2338 Immokalee Rd Ste 203, Naples, FL 34110 Phone: 239-919-4342 | |
Paul Hurd Ii, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2575 North Brooke Plaza Dr, Ste 207, Naples, FL 34119 Phone: 239-919-4342 | |
Colin Lee Kanar, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11983 Tamiami Trl N, Suite 100d, Naples, FL 34110 Phone: 239-593-0918 Fax: 239-593-0927 |