| Dr Shaun Abdul Wahab, MD | |
|
395 W 12th Ave, Columbus, OH 43210-1267 | |
| (614) 293-8315 | |
| (614) 293-6935 |
| Full Name | Dr Shaun Abdul Wahab |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 395 W 12th Ave, Columbus, Ohio |
| 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 |
|---|---|---|---|
| 1831327634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35.126566 (Ohio) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301094276 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vanderbilt University Medical Center | Nashville, TN | Hospital |
| Vanderbilt Wilson County Hospital | Lebanon, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| One Hundred Oaks Imaging,llc | 1355490756 | 91 |
| Vanderbilt Imaging Services, Llc | 2163417882 | 106 |
| Williamson Imaging, Llc | 3375447139 | 99 |
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Entity Name | Williamson Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578581294 PECOS PAC ID: 3375447139 Enrollment ID: O20031122000094 |
| Entity Name | Vanderbilt Health And Williamson Medical Center Clinics And Services, |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225135551 PECOS PAC ID: 7719888262 Enrollment ID: O20040116000793 |
| Entity Name | Vanderbilt Imaging Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144241985 PECOS PAC ID: 2163417882 Enrollment ID: O20040420000724 |
| Entity Name | One Hundred Oaks Imaging,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245485549 PECOS PAC ID: 1355490756 Enrollment ID: O20090513000651 |
| Entity Name | Vanderbilt Imaging Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1457644429 PECOS PAC ID: 2163417882 Enrollment ID: O20111118000122 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaun Abdul Wahab, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8315 | Dr Shaun Abdul Wahab, MD 395 W 12th Ave, Columbus, OH 43210-1267 Ph: (614) 293-8315 |
Chiemezie Chianotu Amadi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 460 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8315 Fax: 614-293-6935 | |
Dr. Michael D Meade, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 471 E Broad St, Suite 1400, Columbus, OH 43215 Phone: 614-221-3303 | |
Thomas M Anderson, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 5200 W Broad St, Columbus, OH 43228 Phone: 614-544-1930 Fax: 614-544-1928 | |
Lynne Ruess, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-6200 | |
Jason E Seavolt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3525 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-5000 Fax: 614-566-6958 | |
Frederick R Long, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-4579 Fax: 614-722-4565 | |
Duc Duy Tran, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3525 Olentangy River Rd, Suite 5360, Columbus, OH 43214 Phone: 614-340-7747 Fax: 614-340-7742 |