| Roham Moftakhar, MD | |
|
3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | |
| (803) 434-8323 | |
| (803) 434-8326 |
| Full Name | Roham Moftakhar |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 24 Years |
| Location | 3 Richland Medical Park Dr, Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184689515 | NPI | - | NPPES |
| 378932 | Medicaid | SC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Medical Group-midlands | 5991099707 | 919 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Roham Moftakhar, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Roham Moftakhar, MD 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 Ph: (803) 434-8323 |
Nathan Chadwick Davis, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 114 Gateway Corporate Blvd Ste 230, Columbia, SC 29203 Phone: 843-792-6200 | |
Karl A Lozanne, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1910 Blanding St, Columbia, SC 29201 Phone: 803-256-4107 | |
Bertram Richter, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Dr. Erwin Zeta Mangubat, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Dr. Seth Shawn Molloy, D.O., M.S. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1910 Blanding St, Columbia, SC 29201 Phone: 803-256-4107 Fax: 803-254-2825 | |
Dr. Stanley O Skarli, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 |