| Haidr Agha, MD | |
|
1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454 | |
| (757) 623-0005 | |
| (757) 389-5383 |
| Full Name | Haidr Agha |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 23 Years |
| Location | 1157 First Colonial Rd, Virginia Beach, Virginia |
| 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 |
|---|---|---|---|
| 1003048117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 0101251568 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Camelot Dialysis Center | Virginia beach, VA | Dialysis facility |
| Stines Dialysis Llc | Virginia beach, VA | Dialysis facility |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Kidney Specialists Inc | 6507852662 | 21 |
| Entity Name | Tidewater Kidney Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780624627 PECOS PAC ID: 6507852662 Enrollment ID: O20040519001509 |
| Mailing Address | Practice Location Address |
|---|---|
| Haidr Agha, MD 4445 Corporation Ln Ste 100, Virginia Beach, VA 23462-3666 Ph: (757) 623-0005 | Haidr Agha, MD 1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454 Ph: (757) 623-0005 |
Vincent Lee, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 5516 Virginia Beach Blvd, Virginia Beach, VA 23462 Phone: 757-473-3969 | |
Dr. Sue Beth Hudson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 802 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-497-0606 Fax: 757-497-0411 | |
Dr. Rosario Devera Hipol, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 701 Independence Cir Ste 102, Virginia Beach, VA 23455 Phone: 757-499-6395 Fax: 757-499-8026 | |
Dr. Jonah Anyaogu Ulu Ezieme, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-2323 Fax: 757-827-2255 | |
Dr. James Richard Miller, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454 Phone: 757-395-1760 Fax: 757-756-5148 | |
Vera Goode, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1020 Independence Blvd, Suite 103, Virginia Beach, VA 23455 Phone: 757-363-1000 Fax: 757-460-3708 |