Individual
FERAS J GHOSHEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4311 APPLETON AVE NW, ROANOKE, VA 24017-2111
(816) 255-9398
(540) 344-7154
Mailing address
4311 APPLETON AVE NW, ROANOKE, VA 24017-2111
(816) 255-9398
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
04-33806
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002189
MEDICARE PTAN
KS
05
—
200965180A
—
KS
Enumeration date
08/25/2006
Last updated
03/25/2015
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