Dr Kamran Badizadegan, MD is a
Pathology - Clinical Informatics physician based in Windermere, Florida. Dr Kamran Badizadegan is licensed to practice in Florida (license number 111484) and his current practice location is 12252 Montalcino Cir, Windermere, Florida. He can be reached at his office (for appointments etc.) via phone at
(617) 680-4215.
NPI number for Dr Kamran Badizadegan is 1972585586 and his current mailing address is 7512 Dr Phillips Blvd Ste 50-523, Orlando, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972585586.
Physician's Profile
| Full Name | Dr Kamran Badizadegan |
|---|
| Gender | Male |
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| Speciality | Pathology - Clinical Informatics |
|---|
| Location | 12252 Montalcino Cir, Windermere, Florida |
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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: 1972585586
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 08/19/2022
Medical Identifiers
Medical identifiers for Dr Kamran Badizadegan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972585586 | NPI | - | NPPES |
| 766417 | Other | MA | TUFTS HEALTH PLAN |
| 3165698 | Medicaid | MA | |
| H506762 | Other | OH | MEDICARE PTAN |
| J17701 | Other | MA | BCBS MA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZC0006X | Pathology - Clinical Pathology | S99264 (Florida) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 35.129581 (Ohio) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 111484 (Florida) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 97007 (Florida) | Secondary |
| 207ZP0213X | Pathology - Pediatric Pathology | 111484 (Florida) | Secondary |
| 207ZP0213X | Pathology - Pediatric Pathology | 35.129581 (Ohio) | Secondary |
| 207ZC0008X | Pathology - Clinical Informatics | 111484 (Florida) | 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 Kamran Badizadegan 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 Kamran Badizadegan, MD
7512 Dr Phillips Blvd Ste 50-523,
Orlando, FL 32819-5420
Ph: (617) 680-4215 | Dr Kamran Badizadegan, MD
12252 Montalcino Cir,
Windermere, FL 34786-5672
Ph: (617) 680-4215 |
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