| Dr Azmi Ramin Jahan, MD | |
|
1500 W Ashland St, Nevada, MO 64772-1710 | |
| (417) 448-5623 | |
| Not Available |
| Full Name | Dr Azmi Ramin Jahan |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1500 W Ashland St, Nevada, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437683968 | NPI | - | NPPES |
| 2022039053 | Other | MO | MISSOURI MEDICAL LICENSE |
| 0101278620 | Other | VA | VIRGINIA MEDICAL LICENSE |
| 87178 | Other | GA | GEORGIA MEDICAL LICENSE |
| 147650 | Other | FL | FLORIDA MEDICAL LICENSE |
| MD-51041 | Other | IA | IOWA MEDICAL LICENSE |
| 81261 | Other | WI | WISCONSIN MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME147650 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 87178 (Georgia) | Primary |
| Entity Name | St Clare Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Azmi Ramin Jahan, MD 1500 W Ashland St, Nevada, MO 64772-1710 Ph: (816) 514-1215 | Dr Azmi Ramin Jahan, MD 1500 W Ashland St, Nevada, MO 64772-1710 Ph: (417) 448-5623 |
Dr. Abdul Mateen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 | |
Mohammad A Rasheed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 320 Mac Blvd, Nevada, MO 64772 Phone: 888-403-1071 | |
Dr. Candice A. Moore, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 | |
Vernon Kent Cooper, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 S Ash St, Nevada, MO 64772 Phone: 417-448-3642 Fax: 417-448-3641 |