Edwan T Kibot (NPI# 1508213398, PAC ID# 6608159363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508213398 |
| PAC ID by PECOS | 6608159363 |
| Professional Enrollment ID | I20170203001785 |
| Full Name | Edwan T Kibot |
| Organization Legal Name | DOMINION CARDIOLOGY PC |
| Address |
2731 S Crater Rd Petersburg VA 23805-2403 |
| Phone Number | 8045201080 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| 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 |
|---|---|---|
| 2 Bernadine Dr, Newport News, VA 23602-4404 | 2406862300 | EMERGENCY MEDICINE ASSOCIATES PA PC |
| 2731 S Crater Rd, Petersburg, VA 23805-2403 | 8045201080 | DOMINION CARDIOLOGY PC |
| Organization Legal Name | DOMINION CARDIOLOGY PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadeem Faruqi | Cardiovascular Disease (cardiology) | 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 |
|---|---|---|---|
| Nadeem Faruqi | Cardiovascular Disease (cardiology) | 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 | NURSE PRACTITIONER |
| City + Specialty | PETERSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Edwan T Kibot.
| 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.