| Dr M Hossein Etezady, MD | |
|
325 Central Ave, Suite 102, Malvern, PA 19355-3219 | |
| (610) 296-0142 | |
| (610) 651-2880 |
| Full Name | Dr M Hossein Etezady |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 325 Central Ave, Malvern, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548249840 | NPI | - | NPPES |
| 0009930090007 | Medicaid | PA | |
| 0009930090008 | Medicaid | PA | |
| 0009930090009 | Medicaid | PA | |
| 232359401 | Other | PA | GREAT VALLEY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD031576L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr M Hossein Etezady, MD 325 Central Ave, Suite 102, Malvern, PA 19355-3219 Ph: (610) 296-0142 | Dr M Hossein Etezady, MD 325 Central Ave, Suite 102, Malvern, PA 19355-3219 Ph: (610) 296-0142 |
Christina Mercogliano, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1315 Summerhill Dr, Malvern, PA 19355 Phone: 610-457-3658 | |
Dr. Owen Rinzo Hagino, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9 Great Valley Pkwy, Malvern, PA 19355 Phone: 610-889-8426 Fax: 610-889-6864 | |
David F Long, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 414 Paoli Pike, Malvern, PA 19355 Phone: 610-649-3943 | |
Dr. Mark B. Fishtein, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18 Dobs Ln, Malvern, PA 19355 Phone: 610-647-3352 | |
Dr. James Walter Feussner, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 655 Sugartown Road, Malvern, PA 19355 Phone: 484-595-6702 | |
Dr. Brian Scott Rogers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5 Great Valley Pkwy Ste 243, Malvern, PA 19355 Phone: 844-882-2384 |