| Lida Nadimi, MD | |
|
1322 Club House Dr, Chesapeake, VA 23322-8073 | |
| (175) 787-6000 | |
| (175) 787-6000 |
| Full Name | Lida Nadimi |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1322 Club House Dr, Chesapeake, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902851199 | NPI | - | NPPES |
| 010186854 | Medicaid | VA | |
| 1902851199 | Other | CA | MEDICARE |
| 5901493 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0101238513 (Virginia) | Primary |
| 207L00000X | Anesthesiology | A92035 (California) | Secondary |
| Entity Name | Childrens Specialty Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Lida Nadimi, MD 1322 Club House Dr, Chesapeake, VA 23322-8073 Ph: () - | Lida Nadimi, MD 1322 Club House Dr, Chesapeake, VA 23322-8073 Ph: (175) 787-6000 |
Ross A. Malley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 429 Mill Stone Rd, Chesapeake, VA 23322 Phone: 757-460-1383 | |
James J Gallo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 429 Mill Stone Rd, Chesapeake, VA 23322 Phone: 757-460-1383 | |
William P Brown, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 429 Mill Stone Rd, Chesapeake, VA 23322 Phone: 800-394-4445 | |
Anthony Pellegrino, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 314, Chesapeake, VA 23320 Phone: 757-312-6195 Fax: 757-937-0998 | |
Thomas J Gregus, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 429 Mill Stone Rd, Chesapeake, VA 23322 Phone: 757-460-1383 | |
Charles W Curran, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 429 Mill Stone Rd, Chesapeake, VA 23322 Phone: 757-460-1383 | |
John D Gober, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 429 Mill Stone Rd, Chesapeake, VA 23322 Phone: 757-460-1383 |