Shohreh Modanlou, MD | |
750 Washinton Street, Boston, MA 02111-1533 | |
(617) 636-9303 | |
Not Available |
Full Name | Shohreh Modanlou |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 750 Washinton Street, Boston, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154506871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A92862 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tufts Medical Center | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pratt Anesthesiology Associates Inc | 0547151151 | 128 |
Entity Name | Pratt Anesthesiology Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326085390 PECOS PAC ID: 0547151151 Enrollment ID: O20040323001056 |
Mailing Address | Practice Location Address |
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Shohreh Modanlou, MD 750 Washinton Street, Boston, MA 02111-1533 Ph: (617) 636-9303 | Shohreh Modanlou, MD 750 Washinton Street, Boston, MA 02111-1533 Ph: (617) 636-9303 |
Stephen G. Flynn, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Dusan Hanidziar, M.D., PH.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Gray-bigelow 444, Boston, MA 02114 Phone: 617-726-3030 | |
Dr. Michael Christopher Lubrano, M.D., M.P.H. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-8210 | |
Vahid Kiarad, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000 | |
Kendrick M Shaw, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-3030 | |
Dr. Peter Sidhom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Boston, MA 02111 Phone: 603-560-2276 | |
John William Carl Carter Mallett, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 |