Mehdi Roozbahani, MD | |
9801 Dupont Ave S Ste 110, Bloomington, MN 55431-3179 | |
(612) 355-6510 | |
(612) 713-9360 |
Full Name | Mehdi Roozbahani |
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Gender | Male |
Speciality | Ophthalmology - Retina Specialist |
Location | 9801 Dupont Ave S Ste 110, Bloomington, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093332041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | TRN30142 (Florida) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | 70631 (Minnesota) | Primary |
Entity Name | Northwest Eye Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255417002 PECOS PAC ID: 2163315045 Enrollment ID: O20040204000843 |
Entity Name | Minnesota Retina Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356099352 PECOS PAC ID: 5698162964 Enrollment ID: O20220505000850 |
Mailing Address | Practice Location Address |
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Mehdi Roozbahani, MD 8401 Golden Valley Rd Ste 330, Golden Valley, MN 55427-4488 Ph: (612) 355-6510 | Mehdi Roozbahani, MD 9801 Dupont Ave S Ste 110, Bloomington, MN 55431-3179 Ph: (612) 355-6510 |
Honora E. Kennedy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-567-6156 | |
Kaihan Fakhar, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015 | |
Elizabeth A Davis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-884-2656 | |
Jill Suzanne Melicher Larson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S, 200, Bloomington, MN 55431 Phone: 952-888-5800 | |
Thomas Lang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 | |
Marshall Jin Huang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-567-6156 |