| Pramoda Fatehchand, PA C | |
|
601 State Route 664 N, Logan, OH 43138-8541 | |
| (740) 380-8410 | |
| Not Available |
| Full Name | Pramoda Fatehchand |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 601 State Route 664 N, Logan, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720389513 | NPI | - | NPPES |
| 0076776 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PPA01520 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | 003529 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pramoda Fatehchand, PA C Po Box 228, Logan, OH 43138-0228 Ph: (740) 380-8410 | Pramoda Fatehchand, PA C 601 State Route 664 N, Logan, OH 43138-8541 Ph: (740) 380-8410 |
Scott J Cryder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 State Route 664 N, Logan, OH 43138 Phone: 740-380-8140 Fax: 740-380-8150 | |
Rachel L. Riel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 |