| Wardeh Agha Medical Center Llc | |
|
7 Anthra Plaza Ctr Sr 61 Ranshaw PA 17866-4199 | |
| (570) 644-0988 | |
| (570) 644-0945 |
| Full Name | Wardeh Agha Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7 Anthra Plaza Ctr, Ranshaw, Pennsylvania |
| Authorized Official Name and Position | Ahmad Wardeh (OWNER) |
| Authorized Official Contact | 5706440988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wardeh Agha Medical Center Llc 7 Anthra Plaza Ctr Sr 61 Ranshaw PA 17866-4199 Ph: () - | Wardeh Agha Medical Center Llc 7 Anthra Plaza Ctr Sr 61 Ranshaw PA 17866-4199 Ph: (570) 644-0988 |
| NPI Number | 1417188251 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 10/21/2009 |
| Medicare PECOS PAC ID | 8527105931 |
|---|---|
| Medicare Enrollment ID | O20091016000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417188251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD068460L (Pennsylvania) | Primary |
| Provider Name | Ahmad F Wardeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255309779 PECOS PAC ID: 4587669445 Enrollment ID: I20060927000362 |
| Provider Name | Mouna Al-agha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497913156 PECOS PAC ID: 8325185739 Enrollment ID: I20091023000242 |
Ahmad Wardeh, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Anthra Plaza Ctr, Ranshaw, PA 17866 Phone: 570-644-0988 Fax: 570-688-0945 |