| Farai Mutongwizo, DO | |
|
395 W 27th St, Lumberton, NC 28358-3018 | |
| (910) 739-7551 | |
| (910) 739-2332 |
| Full Name | Farai Mutongwizo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 395 W 27th St, Lumberton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356909378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2021-02341 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 2021-02341 (North Carolina) | Primary |
| Entity Name | Southeastern Intensivist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912942665 PECOS PAC ID: 9335152107 Enrollment ID: O20190131001122 |
| Mailing Address | Practice Location Address |
|---|---|
| Farai Mutongwizo, DO 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 739-7551 | Farai Mutongwizo, DO 395 W 27th St, Lumberton, NC 28358-3018 Ph: (910) 739-7551 |
Pradeep Ghimire, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 | |
Charles R. Beasley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 Fax: 910-738-3764 | |
Dr. Christopher Ronald Walters, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 W 27th St, Lumberton, NC 28358 Phone: 910-671-6619 | |
Paul Sierszulski, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7557 Fax: 910-739-2332 | |
Nam Huynh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 Fax: 910-739-2332 | |
Sadanand Belinje Hegde, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Oakridge Blvd Ste A3, Lumberton, NC 28358 Phone: 910-738-1141 Fax: 910-738-6011 | |
Muhammad Junaid Ahsan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2936 N Elm St Ste 102, Lumberton, NC 28358 Phone: 910-671-6619 Fax: 910-608-0487 |