Mohammad Mertaban, MD | |
304 Sugar Tree Ln, South Burlington, VT 05403-6778 | |
(310) 351-2732 | |
Not Available |
Full Name | Mohammad Mertaban |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 304 Sugar Tree Ln, South Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427589902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A159314 (California) | Primary |
Entity Name | Ucsf Pediatrics Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | Ucsf Medical Group Business Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
---|---|
Mohammad Mertaban, MD 304 Sugar Tree Ln, South Burlington, VT 05403-6778 Ph: (310) 351-2732 | Mohammad Mertaban, MD 304 Sugar Tree Ln, South Burlington, VT 05403-6778 Ph: (310) 351-2732 |
Barbara C Kennedy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
Dr. Debra Shuma Hartswick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 52 Timberlane, South Burlington, VT 05403 Phone: 802-658-2320 Fax: 802-863-6933 | |
Monica C Fiorenza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
Dr. Leah Mclane Costello, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
John J Murray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
Dr. Elizabeth Ann Hunt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
Lisa Denise Burns, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 37 Brewer Pkwy, South Burlington, VT 05403 Phone: 802-658-4171 |