Amirreza Fallahi, DO | |
400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 | |
(815) 937-1237 | |
(815) 933-0662 |
Full Name | Amirreza Fallahi |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 400 S Kennedy Dr Ste 300, Bradley, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235766916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036166275 (Illinois) | Primary |
Entity Name | Riverside Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Mailing Address | Practice Location Address |
---|---|
Amirreza Fallahi, DO 400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 Ph: (815) 937-1237 | Amirreza Fallahi, DO 400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 Ph: (815) 937-1237 |
Olatola Omobolanle Iyi-ojo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 Fax: 815-933-0662 | |
Raunak Sunil Khisty, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 Fax: 815-933-0662 | |
Mayurika Narayan Pise, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 Fax: 815-933-0662 |