Dr Shahrouz Tahvilian, MD | |
207 W Legion Rd, Brawley, CA 92227-7780 | |
(760) 351-3288 | |
Not Available |
Full Name | Dr Shahrouz Tahvilian |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 14 Years |
Location | 207 W Legion Rd, Brawley, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699078006 | NPI | - | NPPES |
04324636 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | A133716 (California) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A133716 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Desert Regional Medical Center | Palm springs, CA | Hospital |
Loma Linda University Medical Center-murrieta | Murrieta, CA | Hospital |
John F Kennedy Memorial Hospital | Indio, CA | Hospital |
Fountain Valley Regional Hospital & Medical Center | Fountain valley, CA | Hospital |
Pioneers Memorial Healthcare District | Brawley, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden State Imaging Associates Inc | 1254761315 | 223 |
Radadvantage A Professional Corporation | 2163597899 | 49 |
I V Radiology Medical Group | 7517952310 | 31 |
Entity Name | I V Radiology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296880 PECOS PAC ID: 7517952310 Enrollment ID: O20040420000493 |
Entity Name | Modesto Radiological Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
Entity Name | F&s Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 0244368868 Enrollment ID: O20100503000109 |
Entity Name | Golden State Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
Mailing Address | Practice Location Address |
---|---|
Dr Shahrouz Tahvilian, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Dr Shahrouz Tahvilian, MD 207 W Legion Rd, Brawley, CA 92227-7780 Ph: (760) 351-3288 |