Seyed Sahand Banisadr, MD | |
1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | |
(303) 665-3036 | |
(303) 665-3397 |
Full Name | Seyed Sahand Banisadr |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1735 S Public Rd Ste 100, Lafayette, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871013656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 57.030449 (Ohio) | Secondary |
208000000X | Pediatrics | DR0069674 (Colorado) | Primary |
Entity Name | Clinica Campesina Family Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225025406 PECOS PAC ID: 7315850484 Enrollment ID: O20031106000276 |
Mailing Address | Practice Location Address |
---|---|
Seyed Sahand Banisadr, MD 1735 S Public Rd Ste 203, Lafayette, CO 80026-7093 Ph: (303) 665-3036 | Seyed Sahand Banisadr, MD 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 Ph: (303) 665-3036 |
Tamara L Kusek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 Fax: 720-536-7555 | |
Adrienne B Cox, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Neonatology Office, Lafayette, CO 80026 Phone: 303-338-4545 | |
Carol Deborah Siegel Friefeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1735 S Public Rd Ste 100, Lafayette, CO 80026 Phone: 303-665-3036 | |
Dr. Cynthia J Cirolla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Dr. Sarah C Morse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Dr. Nolan M Lassiter Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Robin K Kitlowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Emergency Room, Lafayette, CO 80026 Phone: 303-689-4444 Fax: 303-689-4669 |