| Matthew B Johnson, DO | |
|
37 Ball Park Rd, Harlan, KY 40831-1701 | |
| (606) 573-4520 | |
| (606) 573-6392 |
| Full Name | Matthew B Johnson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 37 Ball Park Rd, Harlan, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811512494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0116034070 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 05495 (Kentucky) | Primary |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871189019 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew B Johnson, DO 37 Ball Park Rd, Harlan, KY 40831-1701 Ph: (606) 573-4520 | Matthew B Johnson, DO 37 Ball Park Rd, Harlan, KY 40831-1701 Ph: (606) 573-4520 |
Jose Echeverria, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 | |
Georges Sayed Damaa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 | |
Dr. Nazneen Ahmed, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 | |
Abdulkader Dahhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Professional Ln, Suite 101, Harlan, KY 40831 Phone: 606-573-1085 Fax: 606-573-1085 | |
Shyam Subramanya Ganti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 | |
Dr. Kamlesh Prem Sajnani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 |