Dr ABUTALEB AHSAN EJAZ MD is a male medical professional, specializing in Nephrology. He graduated in 1987.
CENTRA MEDICAL GROUP LLC
935 S MAIN ST
FARMVILLE
VA
239012211
Tel: 4343155340
| Npi | 1700827136 |
| Pac Id | 2163415092 |
| Professional Enrollment Id | I20180914002423 |
| Last Name | EJAZ |
| First Name | ABUTALEB |
| Middle Name | AHSAN |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1987 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Group Practice Pac Id | 4789606088 |
| Number Of Group Practice Members | 580 |
| Line 1 Street Address | 935 S MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FARMVILLE |
| State | VA |
| Zip Code | 239012211 |
| Phone Number | 4343155340 |
| Hospital Affiliation Ccn 1 | 490090 |
| Hospital Affiliation Lbn 1 | CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC |
| Hospital Affiliation Ccn 2 | 490021 |
| Hospital Affiliation Lbn 2 | CENTRA |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.