Dr Bahram Ghaderi, MD, FACS is a
Plastic Surgery physician based in St. Charles, Illinois. Dr Bahram Ghaderi is licensed to practice in Illinois (license number 036096824) and his current practice location is 2900 Foxfield Road, Suite 201, St. Charles, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 762-9697.
NPI number for Dr Bahram Ghaderi is 1952497752 and his current mailing address is 2900 Foxfield Road, Suite 201, St. Charles, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952497752.
Physician's Profile
Full Name | Dr Bahram Ghaderi |
---|
Gender | Male |
---|
Speciality | Plastic Surgery |
---|
Location | 2900 Foxfield Road, St. Charles, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952497752
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 09/19/2007
Medical Identifiers
Medical identifiers for Dr Bahram Ghaderi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952497752 | NPI | - | NPPES |
036096824 | Medicaid | IL | |
04527510 | Other | IL | BCBS IL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 036096824 (Illinois) | 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 Bahram Ghaderi 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 Bahram Ghaderi, MD, FACS 2900 Foxfield Road, Suite 201, St. Charles, IL 60174 Ph: (630) 762-9697 | Dr Bahram Ghaderi, MD, FACS 2900 Foxfield Road, Suite 201, St. Charles, IL 60174 Ph: (630) 762-9697 |
Reviews and Comments