| Vidur Pravin Ghantiwala, DO | |
|
4513 Executive Dr, Naples, FL 34119-9033 | |
| (239) 591-2803 | |
| Not Available |
| Full Name | Vidur Pravin Ghantiwala |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 4513 Executive Dr, Naples, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043710981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | OS18179 (Florida) | Primary |
| Entity Name | Korunda Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609056282 PECOS PAC ID: 5092895334 Enrollment ID: O20071228000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Vidur Pravin Ghantiwala, DO 4513 Executive Dr, Naples, FL 34119-9033 Ph: (239) 591-2803 | Vidur Pravin Ghantiwala, DO 4513 Executive Dr, Naples, FL 34119-9033 Ph: (239) 591-2803 |
Dr. Eduardo F Figueroa, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3785 Airport Pulling Rd, Suite A Eduardo F Figueroa, Naples, FL 34105 Phone: 239-435-1610 Fax: 239-435-1612 | |
Prathima Moorthy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4760 Tamiami Trail North, Suite 27, Naples, FL 34109 Phone: 239-593-9594 Fax: 239-593-4099 | |
Dr. Luga Podesta, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1875 Veterans Park Dr Ste 2201, Naples, FL 34109 Phone: 239-631-1960 Fax: 239-631-5967 | |
Amanda Blaire Barrial, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2338 Immokalee Rd Ste 203, Naples, FL 34110 Phone: 239-919-4342 | |
Anish J. Soni, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4513 Executive Dr Ste 101, Naples, FL 34119 Phone: 239-591-2803 Fax: 239-594-5637 | |
Paul Hurd Ii, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2575 North Brooke Plaza Dr, Ste 207, Naples, FL 34119 Phone: 239-919-4342 |