Shaghayegh Khayambashi, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. Her current practice location is
541 Clinical Dr Rm Cl370, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 274-7177.
Shaghayegh Khayambashi is licensed to practice in Indiana (license number 11017774A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750661526.
Physician's Profile
Full Name | Shaghayegh Khayambashi |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 541 Clinical Dr Rm Cl370, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750661526
- Provider Enumeration Date: 08/24/2011
- Last Update Date: 06/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 0547486797
- Enrollment ID: I20140723002018
Medical Identifiers
Medical identifiers for Shaghayegh Khayambashi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750661526 | NPI | - | NPPES |
11017774A | Other | IN | MEDICAL RESIDENCY PERMIT |
R72516 | Other | AZ | TRAINING PERMIT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | R72516 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 11017774A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaghayegh Khayambashi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shaghayegh Khayambashi, MD 541 Clinical Dr Rm Cl370, Indianapolis, IN 46202-5233 Ph: (317) 274-7177 | Shaghayegh Khayambashi, MD 541 Clinical Dr Rm Cl370, Indianapolis, IN 46202-5233 Ph: (317) 274-7177 |
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