Dr Bijan Reza Ahmadzadeh, DMD is a
Dentist based in Lake Ariel, Pennsylvania. Dr Bijan Reza Ahmadzadeh is licensed to practice in Pennsylvania (license number DS038398) and his current practice location is
358 Hamlin Hwy, Suite 2, Lake Ariel, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 689-2449.
NPI number for Dr Bijan Reza Ahmadzadeh is 1063726255 and his current mailing address is 358 Hamlin Hwy, Suite 2, Lake Ariel, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063726255.
Healthcare Provider's Profile
Full Name | Dr Bijan Reza Ahmadzadeh |
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Gender | Male |
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Speciality | Dentist |
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Location | 358 Hamlin Hwy, Lake Ariel, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063726255
- Provider Enumeration Date: 07/30/2010
- Last Update Date: 08/18/2020
Medical Identifiers
Medical identifiers for Dr Bijan Reza Ahmadzadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063726255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS038398 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bijan Reza Ahmadzadeh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bijan Reza Ahmadzadeh, DMD 358 Hamlin Hwy, Suite 2, Lake Ariel, PA 18436-0000 Ph: (570) 689-2449 | Dr Bijan Reza Ahmadzadeh, DMD 358 Hamlin Hwy, Suite 2, Lake Ariel, PA 18436-0000 Ph: (570) 689-2449 |
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