| Dr Vadim Edward Korkhov, MD | |
|
301 Hospital Dr, Glen Burnie, MD 21061-5803 | |
| (410) 787-4000 | |
| Not Available |
| Full Name | Dr Vadim Edward Korkhov |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 27 Years |
| Location | 301 Hospital Dr, Glen Burnie, Maryland |
| 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 |
|---|---|---|---|
| 1790725315 | NPI | - | NPPES |
| 000000554504 | Other | IN | ANTHEM |
| 200890270 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 231475 (New York) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | D0068240 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center Inc | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Paul Place Specialists Inc | 7719882943 | 303 |
| Entity Name | St Paul Place Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vadim Edward Korkhov, MD 1411 Grandview Ave, #103, Pittsburgh, PA 15211-1165 Ph: (917) 476-2065 | Dr Vadim Edward Korkhov, MD 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000 |
Mrs. Salvacion Dupaya Ramirez, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 7845 Oakwood Rd, Ste 307, Glen Burnie, MD 21061 Phone: 410-760-4888 Fax: 410-760-1870 | |
Anuradha Boddeti, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604 | |
Dr. Gurmeet Singh Sawhney, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Hospital Dr, 202, Glen Burnie, MD 21061 Phone: 410-766-7616 Fax: 410-766-3092 | |
Mirza M. Nusairee, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Madison Park Dr, Suite #100, Glen Burnie, MD 21061 Phone: 410-766-4747 Fax: 410-766-4855 | |
Ijemma Chinomnso Cunningham, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604 | |
Dr. Deep H Dalal, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406b Crain Hwy S, Suite 207, Glen Burnie, MD 21061 Phone: 410-590-4730 Fax: 410-590-4737 | |
Sridhar Atluri, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7310 Ritchie Hwy, Suite 800, Glen Burnie, MD 21061 Phone: 410-768-3936 Fax: 410-766-6683 |