Fereydoun Azadi, MD is a
Colon & Rectal Surgery physician based in Modesto, California. Fereydoun Azadi is licensed to practice in California (license number A31338) and his current practice location is 1401 Spanos Ct Ste 127, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 525-3848.
NPI number for Fereydoun Azadi is 1790714541 and his current mailing address is 15 Lombard Ln, Lafayette, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790714541.
Physician's Profile
| Full Name | Fereydoun Azadi |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 1401 Spanos Ct Ste 127, Modesto, California |
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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: 1790714541
- Provider Enumeration Date: 07/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Fereydoun Azadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790714541 | NPI | - | NPPES |
| GR076520 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | A31338 (California) | Primary |
| 2086S0102X | Surgery - Surgical Critical Care | A31338 (California) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | A31338 (California) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | A31338 (California) | Primary |
| 208C00000X | Colon & Rectal Surgery | A31338 (California) | 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. Fereydoun Azadi 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 |
|---|
Fereydoun Azadi, MD
15 Lombard Ln,
Lafayette, CA 94549
Ph: () - | Fereydoun Azadi, MD
1401 Spanos Ct Ste 127,
Modesto, CA 95355
Ph: (209) 525-3848 |
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