| David Ghadisha, MD | |
| 301 Hospital Dr, Glen Burnie, MD 21061-5803 | |
| (410) 787-4000 | |
| Not Available | 
| Full Name | David Ghadisha | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology | 
| Location | 301 Hospital Dr, Glen Burnie, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881720225 | NPI | - | NPPES | 
| 1881720225 | Medicaid | NV | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 12264 (Nevada) | Secondary | 
| 207V00000X | Obstetrics & Gynecology | D75359 (Maryland) | Primary | 
| Entity Name | Medstar Medical Group Ii Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Ghadisha, MD Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 240-8847 | David Ghadisha, MD 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000 | 
| Karim Khatibi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 | |
| Theron O'halloran, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 | |
| Dr. Leoncio A Ceccarelli, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 325 Hospital Drive, Ste 209, Glen Burnie, MD 21061 Phone: 410-766-5656 Fax: 710-766-6919 | |
| Dr. Adegboyega Ibukunolu Adejana, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Crain Hwy N Ste 1a, Glen Burnie, MD 21061 Phone: 410-760-1118 Fax: 410-760-1120 | |
| Mr. Carlos A. Alarcon, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 325 Hospital Dr Ste 209, Glen Burnie, MD 21061 Phone: 410-766-5656 Fax: 410-761-1183 | |
| Dr. Rubiliatu Abiola Akinwande, M.D., MPH, MAT Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7670 Quarterfield Rd, Glen Burnie, MD 21061 Phone: 410-508-7650 | |
| Aditya Parshad, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 331 Oak Manor Dr, Suite 202, Glen Burnie, MD 21061 Phone: 410-760-6666 Fax: 410-760-2066 |