| Mohammed Al Gadban, MD | |
| 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | |
| (843) 792-8972 | |
| Not Available | 
| Full Name | Mohammed Al Gadban | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 169 Ashley Ave, Charleston, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043697022 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD38034 (South Carolina) | Primary | 
| Entity Name | Mcleod Health Clarendon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 | 
| Entity Name | Coastal Pediatric Associates, P.a. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770700759 PECOS PAC ID: 8426464736 Enrollment ID: O20210311001646 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mohammed Al Gadban, MD 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 Ph: (843) 573-2535 | Mohammed Al Gadban, MD 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 Ph: (843) 792-8972 | 
| Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265 | |
| Hannah Elizabeth Pressler,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave, Charleston, SC 29425 Phone: 843-754-7275 |