Omagbemi Alex Buwa, MD | |
600 E 5th St, Fulton, MO 65251-1793 | |
(573) 592-4100 | |
Not Available |
Full Name | Omagbemi Alex Buwa |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 600 E 5th St, Fulton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922597871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2021026576 (Missouri) | Primary |
Entity Name | State Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477873 PECOS PAC ID: 1456254226 Enrollment ID: O20040129000481 |
Mailing Address | Practice Location Address |
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Omagbemi Alex Buwa, MD 600 E 5th St, Fulton, MO 65251-1793 Ph: (573) 592-4100 | Omagbemi Alex Buwa, MD 600 E 5th St, Fulton, MO 65251-1793 Ph: (573) 592-4100 |
Mrs. Kavita Pendurthi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton State Hospital, Fulton, MO 65251 Phone: 573-592-4100 Fax: 573-592-3023 | |
Justin Stewart Ehrhardt, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-4100 | |
Armando B Ponce, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton State Hospital, Fulton, MO 65251 Phone: 573-592-4100 Fax: 573-592-3023 | |
Rameshlal M Rawlani, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 600 East 5th Street, Fulton State Hospital, Fulton, MO 65251 Phone: 573-592-4100 Fax: 573-592-3023 | |
Judith A Fisher, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton State Hospital, Fulton, MO 65251 Phone: 573-592-4100 Fax: 573-592-3023 | |
Dr. David Robert Hunter, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 600 East Fifth Street, Fulton State Hospital, Fulton, MO 65251 Phone: 573-592-4100 Fax: 573-592-3023 |