| Charles Gilliland, MD | |
|
1900 Electric Rd, Salem, VA 24153-7474 | |
| (540) 776-4000 | |
| (540) 776-2083 |
| Full Name | Charles Gilliland |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1900 Electric Rd, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932187309 | NPI | - | NPPES |
| 010402930 | Medicaid | VA | |
| P00276903 | Other | VA | MEDICARE RAILROAD |
| P00403455 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 0101025788 (Virginia) | Primary |
| Entity Name | The Queens Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Gilliland, MD 1900 Electric Rd, Salem, VA 24153-7474 Ph: (540) 776-4000 | Charles Gilliland, MD 1900 Electric Rd, Salem, VA 24153-7474 Ph: (540) 776-4000 |
Dr. David Jerome Boone, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Dr. Kenneth Roy Pendergrast, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2155 Apperson Dr, Salem, VA 24153 Phone: 540-444-2010 Fax: 540-444-2019 | |
Roy Habib, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3490 | |
Mufrad Zaman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Dr. Oluwaseun Ekundayo Somorin, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4000 Fax: 540-776-2083 | |
Dr. Bao Khanh Nguyen, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-577-5874 |