DR. GUITA GHADIRI M.D. NPI 1053304311

NPI Information

NPI: 1053304311
Provider Name: DR. GUITA GHADIRI, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: SOUTHEASTERN INTENSIVIST SERVICES PC

PECOS Registration: Yes

Address:
1901 HUGUENOT RD
SUITE 309
NORTH CHESTERFIELD, VA
ZIP 23235
Phone: (804) 955-4864
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DR. Guita Ghadiri, M.D. is a nephrology internal medicine in North Chesterfield, VA with 35 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Guita Ghadiri, M.D. NPI is 1053304311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 HUGUENOT RD
SUITE 309
NORTH CHESTERFIELD, VA
ZIP 23235-311
Phone: (804) 955-4864

The NPI 1053304311 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 6/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD426805	PENNSYLVANIA	No
2	207RN0300X	Internal Medicine	Nephrology	0101256855	VIRGINIA	Yes
3	207RN0300X	Internal Medicine	Nephrology	MD426805	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20082336	OTHER	PENNSYLVANIA	AMERIHEALTH MERCY-WMG
2	3625	OTHER	PENNSYLVANIA	GEISINGER HEALTH PLAN
3	1013229970001	MEDICAID	PENNSYLVANIA
4	1545720	OTHER	PENNSYLVANIA	GATEWAY-WMG
5	947471	OTHER	PENNSYLVANIA	CAREFIRST MD BCBS
6	50082793	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS-WMG
7	101322997	MEDICAID	PENNSYLVANIA
8	226982	OTHER	PENNSYLVANIA	JOHNS HOPKINS
9	1744727	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
10	259802	OTHER	PENNSYLVANIA	UNISON-WMG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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