Dariush Heidary, MD | |
4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 | |
(912) 354-7188 | |
(912) 354-5208 |
Full Name | Dariush Heidary |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 4750 Waters Ave, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720028517 | NPI | - | NPPES |
146170 | Medicaid | SC | |
P00279274 | Other | RAILROAD MEDICARE | |
582162071066 | Other | CHAMPUS | |
967351 | Other | GA | BLUE CROSS BLUE SHIELD |
000133042D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 018668 (Georgia) | Primary |
Entity Name | Mppg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338 |
Mailing Address | Practice Location Address |
---|---|
Dariush Heidary, MD 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 Ph: (912) 354-7188 | Dariush Heidary, MD 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 Ph: (912) 354-7188 |
Dr. Chadwick William Stouffer, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 400, Savannah, GA 31404 Phone: 912-273-1100 Fax: 912-273-1111 | |
Dr. Lourens J Willekes Ii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 400, Savannah, GA 31404 Phone: 912-273-1100 Fax: 912-273-1111 | |
David V Capallo, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 900 Mohawk Street Ste E, Savannah, GA 31419 Phone: 912-925-0067 Fax: 912-629-0280 | |
Brian Marcus Bailey, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5354 Reynolds St Ste 102, Savannah, GA 31405 Phone: 912-819-0500 Fax: 912-819-0501 | |
Ryan Abbaszadeh, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 403, Savannah, GA 31404 Phone: 912-273-1150 | |
R Alan Hall, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 815 E 63rd St, Savannah, GA 31405 Phone: 912-355-8188 Fax: 912-356-6970 |