RAKESH I BAMAN (NPI# 1134109051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134109051 |
| Entity Type | Individual |
| Full Name | RAKESH I BAMAN |
| Credential | MD |
| Practice Address |
2258 Wrightsboro Rd Ste 400 Augusta GA 30904-4788 |
| Mailing Address |
1591 Medical Dr Pottstown PA 19464-3224 |
| Practice Telephone | 7067244400 |
| Practice Fax Number | 7067246003 |
| Mailing Telephone | 6103268005 |
| Mailing Fax Number | 6103279629 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
81931 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD047086L | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1591 Medical Dr, Pottstown, PA 194643224 | 6103268005 | 6107180788 |
| Street Address |
2258 WRIGHTSBORO RD STE 400 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760097 | Jacey Laine Salley | Nurse Practitioner | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2020-08-16 |
| 1588204929 | John Paul Percival | Nurse Practitioner | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2020-01-14 |
| 1487214151 | Cassandra Ebony Brown | Nurse Practitioner | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2019-06-16 |
| 1427122597 | Victoria M Burt | Nurse Practitioner | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1861714321 | James Walter Ryan | Internal Medicine | 3047 Lake Forest Dr, Augusta, GA 30909-3027 | 2010-02-24 |
| 1427157114 | Joseph Frank Pensabene | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2006-09-21 |
| 1508962333 | William Joseph Wylie | Internal Medicine | 837 Chafee Ave, Augusta, GA 30904 | 2006-09-16 |
| 1730108846 | Keith Sue-ling | Internal Medicine | 1349 Druid Park Ave, Augusta, GA 30904 | 2006-07-19 |
| 1033157011 | Augusta Heart Associates | Internal Medicine | 818 St Sebastian Way, Ste 308, Augusta, GA 30901-1076 | 2006-06-03 |
| 1952375537 | Sameh Z. Lamiy | Internal Medicine | 818 Saint Sebastian Way Ste 311, Augusta, GA 30901-2653 | 2006-02-13 |
| 1639159064 | David T. Frost | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2006-01-20 |
| 1730168261 | Faiz U Rehman | Internal Medicine | 818 Saint Sebastian Way Ste 307, Augusta, GA 30901 | 2006-01-12 |
| 1457339251 | Doris Elizabeth Tummillo | Internal Medicine | 2050 Walton Way, Suite 201, Augusta, GA 30904-2305 | 2006-01-03 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.