Reza Sharafi Md Inc | |
9818 Paramount Blvd Ste D Downey CA 90240-4407 | |
(917) 687-1256 | |
Not Available |
Full Name | Reza Sharafi Md Inc |
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Speciality | Internal Medicine |
Location | 9818 Paramount Blvd Ste D, Downey, California |
Authorized Official Name and Position | Reza Sharafi (PRESIDENT) |
Authorized Official Contact | 5626580499 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reza Sharafi Md Inc 9818 Paramount Blvd Ste D Downey CA 90240-4407 Ph: () - | Reza Sharafi Md Inc 9818 Paramount Blvd Ste D Downey CA 90240-4407 Ph: (917) 687-1256 |
NPI Number | 1255777843 |
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Provider Enumeration Date | 05/22/2013 |
Last Update Date | 05/22/2013 |
Medicare PECOS PAC ID | 4284860289 |
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Medicare Enrollment ID | O20131121001699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255777843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A96845 (California) | Primary |
Provider Name | Reza Sharafi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336199660 PECOS PAC ID: 1254300445 Enrollment ID: I20121217000347 |
Provider Name | Adam M Dost |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962728238 PECOS PAC ID: 0749423176 Enrollment ID: I20130903000808 |
Provider Name | Christina M Reichert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457623969 PECOS PAC ID: 6002039260 Enrollment ID: I20140516000631 |
Provider Name | Edna A Yarashevich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972909968 PECOS PAC ID: 7618268426 Enrollment ID: I20160627001113 |
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