Elaheh Bani Ahmad, | |
8425 Hampton Farms Dr, Moseley, VA 23120-1713 | |
(180) 493-3287 | |
Not Available |
Full Name | Elaheh Bani Ahmad |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 8425 Hampton Farms Dr, Moseley, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265059760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024179498 (Virginia) | Primary |
Entity Name | Legacy Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
Mailing Address | Practice Location Address |
---|---|
Elaheh Bani Ahmad, 8425 Hampton Farms Dr, Moseley, VA 23120-1713 Ph: (180) 493-3287 | Elaheh Bani Ahmad, 8425 Hampton Farms Dr, Moseley, VA 23120-1713 Ph: (180) 493-3287 |
Mrs. Tiffani Cheree Pendleton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17507 Tree View Ct, Moseley, VA 23120 Phone: 240-538-8624 | |
Cindy Yvonne Martinez-kilgo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16712 Hampton Farms Ct, Moseley, VA 23120 Phone: 804-337-2862 | |
Jayasudha Paramasivam, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16808 Thornapple Run, Moseley, VA 23120 Phone: 804-926-7975 |