Nadeem Faruqi (NPI# 1205886900, PAC ID# 1658276142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1205886900 |
PAC ID by PECOS | 1658276142 |
Professional Enrollment ID | I20110311000769 |
Full Name | Nadeem Faruqi |
Organization Legal Name | DOMINION CARDIOLOGY PC |
Address |
2731 S Crater Rd Petersburg VA 23805-2403 |
Phone Number | 8045201080 |
Gender | M |
Credential | MD |
Graduation Year | 1985 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 1658542576 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
200 Medical Park Blvd, Petersburg, VA 23805-9274 | 8047655000 | SOUTHSIDE PHYSICIAN NETWORK LLC |
2731 S Crater Rd, Petersburg, VA 23805-2403 | 8045201080 | DOMINION CARDIOLOGY PC |
40 Medical Park Blvd A, Petersburg, VA 23805-9289 | 8045047900 | SOUTHSIDE PHYSICIAN NETWORK LLC |
40 Medical Park Blvd B, Petersburg, VA 23805-9289 | 8045206730 | SOUTHSIDE PHYSICIAN NETWORK LLC |
40 Medical Park Blvd D, Petersburg, VA 23805-9289 | 8045202626 | SOUTHSIDE PHYSICIAN NETWORK LLC |
Organization Legal Name | DOMINION CARDIOLOGY PC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edwan T Kibot | Nurse Practitioner | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
Islam A Al-howaidi | Interventional Cardiology | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
Street Address |
2731 S CRATER RD |
City | PETERSBURG |
State | VA |
Zip | 23805-2403 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edwan T Kibot | Nurse Practitioner | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
Islam A Al-howaidi | Interventional Cardiology | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan E Langer | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Sujatha Yellinedi | Medical Oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Nishanth Sukumaran | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Shobha R Nalluri | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Yogesh K Gandhi | Hematology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Tanikka Mason | Clinical Social Worker | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | |
Joseph W Siko Jr. | Podiatry | 2020 Wakefield Ave, Petersburg, VA 23805-2112 | |
Samuel W Person | Podiatry | 2020 Wakefield St, Petersburg, VA 23805-2112 | |
Robert Joaquin Foster | Optometry | Legacy Eye Care | 3500 S Crater Rd, Petersburg, VA 23805-9204 |
Krishna Rao Kudaravalli | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
Find all physicians in zip 23805 |
City | PETERSBURG |
Zip Code | 23805 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | PETERSBURG + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.