Reza Mahram, | |
3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | |
(919) 425-1565 | |
(919) 425-0478 |
Full Name | Reza Mahram |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3114 Croasdaile Dr, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891894838 | NPI | - | NPPES |
016386631C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 054315 (Georgia) | Secondary |
207P00000X | Emergency Medicine | ME103889 (Florida) | Primary |
Entity Name | Paragon Contracting Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
Mailing Address | Practice Location Address |
---|---|
Reza Mahram, 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 Ph: (919) 425-1565 | Reza Mahram, 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 Ph: (919) 425-1565 |
Dr. Michael Healy Ward, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 | |
Lydia Darlud Mitchell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-5345 | |
Rebecca Sara Rich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-5345 | |
Heston Channing Lamar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2645 Meridian Pkwy Ste 323, Durham, NC 27713 Phone: 984-227-8902 | |
Charles Gerardo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Dr. Benjamin Louis Oshlag, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-5537 Fax: 919-681-8521 | |
Joy Martin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 |