Kayvaan M Mortazavi, MD | |
6567 E Carondelet Dr, Suite 555, Tucson, AZ 85710-6152 | |
(520) 885-3588 | |
(520) 290-3958 |
Full Name | Kayvaan M Mortazavi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 6567 E Carondelet Dr, Tucson, Arizona |
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 |
---|---|---|---|
1124265285 | NPI | - | NPPES |
524573 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42417 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tucson Medical Center | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group Arizona Llc | 3173872835 | 190 |
Arizona Community Physicians Pc | 4587560552 | 161 |
Entity Name | Arizona Community Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205871076 PECOS PAC ID: 4587560552 Enrollment ID: O20031210000500 |
Entity Name | Summit Medical Group Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015 |
Mailing Address | Practice Location Address |
---|---|
Kayvaan M Mortazavi, MD 2202 N Forbes Blvd, Tucson, AZ 85745-1412 Ph: (520) 885-3588 | Kayvaan M Mortazavi, MD 6567 E Carondelet Dr, Suite 555, Tucson, AZ 85710-6152 Ph: (520) 885-3588 |
Dr. Jeffrey T. Mack, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4001 E Sunrise Dr Ste 161, Tucson, AZ 85718 Phone: 520-408-6955 | |
Melissa Laura Ray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2155 W Orange Grove Rd, Tucson, AZ 85741 Phone: 520-742-0414 Fax: 520-742-4063 | |
David L Massanari, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3945 E Paradise Falls Drive, Ste 201, Tucson, AZ 85712 Phone: 520-615-6200 Fax: 520-615-6255 | |
Violet P Siwik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way Ste 101, Tucson, AZ 85711 Phone: 520-694-8888 Fax: 520-694-1640 | |
Dr. Ivy L Schwartz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716 Phone: 520-618-8747 Fax: 520-882-5676 | |
Rhema Sayers, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 N Wilmot Rd, Suite 110, Tucson, AZ 85712 Phone: 520-884-4999 Fax: 520-300-6669 | |
Dr. Shauna Lee Mcisaac, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3550 N First Ave, Suite 300, Tucson, AZ 85719 Phone: 520-887-0715 Fax: 520-887-1315 |