| Associated Specialists, Inc. | |
|
527 Medical Park Drive Suite 204 Bridgeport WV 26330-9009 | |
| (304) 933-3800 | |
| (304) 933-3815 |
| Full Name | Associated Specialists, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 527 Medical Park Drive, Bridgeport, West Virginia |
| Authorized Official Name and Position | Adnan Alghadban (CEO) |
| Authorized Official Contact | 3049333800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Specialists, Inc. 527 Medical Park Dr Ste 204 Bridgeport WV 26330-9009 Ph: (304) 933-3800 | Associated Specialists, Inc. 527 Medical Park Drive Suite 204 Bridgeport WV 26330-9009 Ph: (304) 933-3800 |
| NPI Number | 1427165596 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 8022922699 |
|---|---|
| Medicare Enrollment ID | O20031118000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427165596 | NPI | - | NPPES |
| 0622681 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Adnan Alghadban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043323199 PECOS PAC ID: 7315832284 Enrollment ID: I20040513000590 |
| Provider Name | Heather Marie Clawges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316027410 PECOS PAC ID: 4486629565 Enrollment ID: I20040901000232 |
| Provider Name | Ali A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528089158 PECOS PAC ID: 2365449261 Enrollment ID: I20061108000161 |
| Provider Name | Mazen Nashed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124114574 PECOS PAC ID: 4981739315 Enrollment ID: I20100324000111 |
| Provider Name | Zaid A Al-qudah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508097395 PECOS PAC ID: 7719299346 Enrollment ID: I20150709002366 |
| Provider Name | Khaldoun Mozahem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346730504 PECOS PAC ID: 3971850132 Enrollment ID: I20180718002971 |
| Provider Name | Vanessa R Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992294482 PECOS PAC ID: 9335491810 Enrollment ID: I20181010003785 |
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