| Daniel J Eyvazzadeh, MD | |
|
1530 8th Ave, Bethlehem, PA 18018-1883 | |
| (484) 526-2600 | |
| Not Available |
| Full Name | Daniel J Eyvazzadeh |
|---|---|
| Gender | Male |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 21 Years |
| Location | 1530 8th Ave, Bethlehem, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932235058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | MD445823 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Home Health | Bethlehem, PA | Home health agency |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Easton Campus | Easton, PA | Hospital |
| St Luke's Hospital - Upper Bucks Campus | Quakertown, PA | Hospital |
| St Luke's Warren Hospital | Phillipsburg, NJ | Hospital |
| St Luke's Hospital - Grand View Campus | Sellersville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 2161 |
| Entity Name | St Luke's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508874538 PECOS PAC ID: 0648189688 Enrollment ID: O20031106000233 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Star Community Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033686159 PECOS PAC ID: 7618215237 Enrollment ID: O20190206002009 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Eyvazzadeh, MD 1530 8th Ave, Bethlehem, PA 18018-1883 Ph: (484) 526-2600 | Daniel J Eyvazzadeh, MD 1530 8th Ave, Bethlehem, PA 18018-1883 Ph: (484) 526-2600 |