Tahmtan Hormozdyaran, MD, | |
2226 Penfield Rd, Penfield, NY 14526-1922 | |
(585) 388-5280 | |
(585) 388-5282 |
Full Name | Tahmtan Hormozdyaran |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2226 Penfield Rd, Penfield, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013994623 | NPI | - | NPPES |
213296 | Other | NY | LICENSE # |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 213296 (New York) | Primary |
Entity Name | Greater Rochester Immediate Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295064103 PECOS PAC ID: 8123158078 Enrollment ID: O20100619000043 |
Mailing Address | Practice Location Address |
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Tahmtan Hormozdyaran, MD, 2226 Penfield Rd, Penfield, NY 14526-1922 Ph: (585) 388-5280 | Tahmtan Hormozdyaran, MD, 2226 Penfield Rd, Penfield, NY 14526-1922 Ph: (585) 388-5280 |
Matthew Metcalf Brockway, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2212 Penfield Rd Ste 200, Penfield, NY 14526 Phone: 585-598-8565 Fax: 585-388-0174 | |
Brenda Davis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2212 Penfield Rd Ste 200, Penfield, NY 14526 Phone: 585-598-8555 Fax: 585-388-0174 | |
Aaron M Olden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 421 Penbrooke Dr Ste 12a, Penfield, NY 14526 Phone: 585-481-1811 Fax: 585-364-0156 | |
Charles D Wadsworth, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2212 Penfield Rd, Suite 200, Penfield, NY 14526 Phone: 585-598-8569 Fax: 585-388-7273 | |
Joel A. Shamaskin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2212 Penfield Rd, Suite 200, Penfield, NY 14526 Phone: 585-598-8555 Fax: 585-388-7533 | |
Angela Kreisman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2212 Penfield Rd, Suite 200, Penfield, NY 14526 Phone: 585-598-8565 Fax: 585-388-0174 |