| Ahmad B Faridi, MD | |
|
300 Prosperity Lane, Suite 203, Logan, WV 25601 | |
| (304) 752-8800 | |
| (304) 758-9000 |
| Full Name | Ahmad B Faridi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 300 Prosperity Lane, Logan, West Virginia |
| 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 |
|---|---|---|---|
| 1760426068 | NPI | - | NPPES |
| 7100168950 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 42343 (Kentucky) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 22245 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia Dialysis | Logan, WV | Dialysis facility |
| Davita - Eastern Kentucky Dialysis | Pikeville, KY | Dialysis facility |
| Logan Regional Medical Center | Logan, WV | Hospital |
| Tug Valley Arh Regional Medical Center | South williamson, KY | Hospital |
| Boone Memorial Hospital | Madison, WV | Hospital |
| St Mary's Medical Center | Huntington, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern West Virginia Nephrology Associates | 0345421046 | 2 |
| Southern West Virginia Nephrology Associates | 0345421046 | 2 |
| Entity Name | Southern West Virginia Nephrology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346541281 PECOS PAC ID: 0345421046 Enrollment ID: O20110607000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad B Faridi, MD 300 Prosperity Ln, Suite 203, Logan, WV 25601-3743 Ph: (304) 752-8800 | Ahmad B Faridi, MD 300 Prosperity Lane, Suite 203, Logan, WV 25601 Ph: (304) 752-8800 |
Sathishchandra N Rao, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6255 Fax: 304-792-6290 | |
Fernando Luis Gonzalez-ramos, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Drive, Suite 101, Logan, WV 25601 Phone: 304-831-0450 Fax: 304-831-0452 | |
Robert Perez, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1630 Fax: 304-831-1634 | |
Radhakrishna Kukkillaya, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6282 Fax: 304-792-6290 | |
Dr. Chris Mccoy, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 557 Main St, Logan, WV 25601 Phone: 304-896-5001 | |
Dr. Raymond Omar Rushden, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 140 Stollings Ave Ste 2, Logan, WV 25601 Phone: 304-752-8400 Fax: 304-752-8419 | |
John T Tiano, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Drive, Logan, WV 25601 Phone: 304-831-1602 Fax: 304-831-1605 |