Kwabena O Agyeman (NPI# 1508806456, PAC ID# 1951368075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1508806456 |
| PAC ID by PECOS | 1951368075 |
| Professional Enrollment ID | I20050909000534 |
| Full Name | Kwabena O Agyeman |
| Address |
43 Rives Rd Suite 201 Petersburg VA 23805-9255 |
| Gender | M |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1991 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| 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 |
| 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 |
| 43 Rives Rd, Suite 201, Petersburg, VA 23805-9255 |
| Street Address |
43 RIVES RD SUITE 201 |
| City | PETERSBURG |
| State | VA |
| Zip | 23805-9255 |
| 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 | |
| Nadeem Faruqi | Cardiovascular Disease (cardiology) | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
| Edwan T Kibot | Nurse Practitioner | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
| Find all physicians in zip 23805 | |||
| City | PETERSBURG |
| Zip Code | 23805 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PETERSBURG + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Kwabena O Agyeman.
| 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.