| Ali Baltaji, | |
|
720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 | |
| (270) 843-5114 | |
| (270) 745-1230 |
| Full Name | Ali Baltaji |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 720 2nd Ave Ste 203, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912559691 | NPI | - | NPPES |
| 7100981060 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125074501 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 59321 (Kentucky) | Primary |
| Entity Name | Southern Kentucky Nephrology Associates Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740310267 PECOS PAC ID: 4183654643 Enrollment ID: O20050816000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Baltaji, 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 Ph: (217) 518-6382 | Ali Baltaji, 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 Ph: (270) 843-5114 |
Rodney T. Steff, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 421 Us 31w Byp, Bowling Green, KY 42101 Phone: 270-782-0151 | |
Dr. Daniel R Long, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1000 | |
Dr. Rance Wentworth, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 Fax: 270-780-0462 | |
Pinky Dalal Gaba, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 427 Us 31w Byp, Bowling Green, KY 42101 Phone: 270-796-8800 Fax: 270-796-9328 | |
Ms. Uma Akkineni, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-796-6540 Fax: 270-796-6576 | |
Dr. Sanket Nayyar, MD MPH Nephrology Medicare: Medicare Enrolled Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-796-6540 | |
Mohammed Kazimuddin, MD FACC FSCAI Nephrology Medicare: Accepting Medicare Assignments Practice Location: 825 Second Ave, Ste B1, Bowling Green, KY 42101 Phone: 270-782-0151 Fax: 270-782-7528 |