Ehsan Zandifar, MD is a
Family Medicine physician based in Sparta, Missouri. Ehsan Zandifar is licensed to practice in Missouri (license number 2019016567) and his current practice location is 515 Hugh Ave, Sparta, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 634-3000.
NPI number for Ehsan Zandifar is 1043839491 and his current mailing address is 1570 S 14th Ave Apt 13, Ozark, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043839491.
Physician's Profile
| Full Name | Ehsan Zandifar |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 515 Hugh Ave, Sparta, Missouri |
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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: 1043839491
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 04/15/2020
Medical Identifiers
Medical identifiers for Ehsan Zandifar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043839491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2019016567 (Missouri) | 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. Ehsan Zandifar 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 |
|---|
Ehsan Zandifar, MD
1570 S 14th Ave Apt 13,
Ozark, MO 65721-8940
Ph: (949) 466-4181 | Ehsan Zandifar, MD
515 Hugh Ave,
Sparta, MO 65753-1220
Ph: (417) 634-3000 |
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