Dr Reza Khazaeizadeh, DDS is a
Dentist - General Practice based in Farmersville, California. Dr Reza Khazaeizadeh is licensed to practice in California (license number 57020) and his current practice location is
243 N Farmersville Blvd, Farmersville, California. He can be reached at his office (for appointments etc.) via phone at
(559) 747-5200.
NPI number for Dr Reza Khazaeizadeh is 1649438235 and his current mailing address is 243 N Farmersville Blvd, Farmersville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649438235.
Healthcare Provider's Profile
| Full Name | Dr Reza Khazaeizadeh |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 243 N Farmersville Blvd, Farmersville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649438235
- Provider Enumeration Date: 05/30/2008
- Last Update Date: 07/27/2012
Medical Identifiers
Medical identifiers for Dr Reza Khazaeizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649438235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 57020 (California) | 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 Reza Khazaeizadeh 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 Reza Khazaeizadeh, DDS
243 N Farmersville Blvd,
Farmersville, CA 93223-1570
Ph: (559) 747-5200 | Dr Reza Khazaeizadeh, DDS
243 N Farmersville Blvd,
Farmersville, CA 93223-1570
Ph: (559) 747-5200 |
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