| Komal Masood, MD | |
|
502 Van Buren St, Fostoria, OH 44830-1533 | |
| (419) 334-3869 | |
| Not Available |
| Full Name | Komal Masood |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 502 Van Buren St, Fostoria, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295141455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301105319 (Michigan) | Primary |
| Entity Name | University Of Toledo Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Community And Rural Health Services |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1780683573 PECOS PAC ID: 5395733224 Enrollment ID: O20040430001263 |
| Mailing Address | Practice Location Address |
|---|---|
| Komal Masood, MD 2221 Hayes Ave, Fremont, OH 43420-2632 Ph: (419) 334-8943 | Komal Masood, MD 502 Van Buren St, Fostoria, OH 44830-1533 Ph: (419) 334-3869 |
Dr. Asish K Basu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Van Buren St, Suite 206, Fostoria, OH 44830 Phone: 419-435-7734 Fax: 419-437-6623 | |
Dr. Govardhana Roa Korrapati, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Perry St, Fostoria, OH 44830 Phone: 419-435-9241 |