Vistasp Daruwalla, MD | |
1220 Jefferson St, Laurel, MS 39440-4355 | |
(814) 534-9104 | |
(814) 534-3290 |
Full Name | Vistasp Daruwalla |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 14 Years |
Location | 1220 Jefferson St, Laurel, 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 |
---|---|---|---|
1679984546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT206379 (Pennsylvania) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 27689 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Central Reg Med Ctr | Laurel, MS | Hospital |
Forrest General Hospital | Hattiesburg, MS | Hospital |
Wayne General Hospital | Waynesboro, MS | Hospital |
Covington County Hospital Cah | Collins, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates, Pa | 2163404625 | 3 |
Entity Name | Radiology Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942214846 PECOS PAC ID: 2163404625 Enrollment ID: O20040607001166 |
Mailing Address | Practice Location Address |
---|---|
Vistasp Daruwalla, MD Po Box 2427, Laurel, MS 39442-2427 Ph: (601) 428-1000 | Vistasp Daruwalla, MD 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (814) 534-9104 |
Steven Blaine Quin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-428-0100 | |
Dr. Ronald Gatewood, M. D. Radiology Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-428-0100 | |
Dr. L. Cameron Pimperl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 127 S 13th Ave, Laurel, MS 39440 Phone: 601-425-2999 Fax: 601-425-3286 | |
Dr. Peeler Lacey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 227 S 13th Ave, Laurel, MS 39440 Phone: 601-709-2145 | |
Dr. Daniel Frederick Vial, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-709-2145 | |
Dr. Dana Chard, M. D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 227 S 13th Ave, Laurel, MS 39440 Phone: 601-709-2145 | |
Dr. Clyde Allen, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 227 S 13th Ave, Laurel, MS 39440 Phone: 601-709-2145 |