| Amirreza Fallahi, DO | |
|
400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 | |
| (815) 937-1237 | |
| (815) 933-0662 |
| Full Name | Amirreza Fallahi |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 S Kennedy Dr Ste 300, Bradley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235766916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036166275 (Illinois) | Primary |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Amirreza Fallahi, DO 400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 Ph: (815) 937-1237 | Amirreza Fallahi, DO 400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 Ph: (815) 937-1237 |
Bakht Siddiqui, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 | |
Parmis Fatih, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 | |
Olatola Omobolanle Iyi-ojo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 Fax: 815-933-0662 | |
Raunak Sunil Khisty, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 Fax: 815-933-0662 | |
Mayurika Narayan Pise, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-937-1237 Fax: 815-933-0662 |