| Fady Ashamalla, | |
|
42725 Highway 27, Ste 202, Davenport, FL 33837-6821 | |
| (407) 647-1781 | |
| Not Available |
| Full Name | Fady Ashamalla |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 25 Years |
| Location | 42725 Highway 27, Davenport, Florida |
| 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 |
|---|---|---|---|
| 1912163866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME117175 (Florida) | Primary |
| Entity Name | Qualicare Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962958264 PECOS PAC ID: 8729367727 Enrollment ID: O20161115001818 |
| Mailing Address | Practice Location Address |
|---|---|
| Fady Ashamalla, 42725 Highway 27, Ste 202, Davenport, FL 33837-6821 Ph: (407) 647-1781 | Fady Ashamalla, 42725 Highway 27, Ste 202, Davenport, FL 33837-6821 Ph: (407) 647-1781 |
Juliana Escobar Restrepo, PA Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2504 Sand Mine Rd, Davenport, FL 33897 Phone: 863-419-7645 | |
Dr. Vidyasagar Reddy Vangala, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2504 Sand Mine Rd, Davenport, FL 33897 Phone: 863-419-7645 Fax: 863-419-7655 | |
Dr. Shahid Riaz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 108 Park Place Blvd, Ste A, Davenport, FL 33837 Phone: 863-421-4700 Fax: 863-421-4715 |