| Ayesha S Kang, MD | |
| 
					1400 Us Highway 61, Festus, MO 63028-4100  | |
| (636) 933-5337 | |
| (636) 933-8090 | 
| Full Name | Ayesha S Kang | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 1400 Us Highway 61, Festus, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982285409 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208M00000X | Hospitalist | 2024035473 (Missouri) | Secondary | 
| 207R00000X | Internal Medicine | 2024035473 (Missouri) | Primary | 
| Entity Name | Ssm Health Care Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ayesha S Kang, MD 1400 Us Highway 61 Ste H1521, Festus, MO 63028-4100 Ph: (636) 933-5337  | Ayesha S Kang, MD 1400 Us Highway 61, Festus, MO 63028-4100 Ph: (636) 933-5337  | 
Holly Ackermann, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 Fax: 636-282-0384  | |
Dr. Sridevi Durga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N1500, Festus, MO 63028 Phone: 636-933-5055 Fax: 636-933-3609  | |
Karthik Iyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337  | |
Joanne M Waltman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 Fax: 636-933-8017  | |
Swetha Edla, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337  | |
Dr. Manzoor Ahmad Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1071 Airport Road, Festus, MO 63028 Phone: 636-931-7111 Fax: 636-937-7486  | |
Amit J Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900  |