| Dariush Heidary, MD | |
| 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 | |
| (912) 354-7188 | |
| (912) 354-5208 | 
| Full Name | Dariush Heidary | 
|---|---|
| Gender | Male | 
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) | 
| Location | 4750 Waters Ave, Savannah, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720028517 | NPI | - | NPPES | 
| 146170 | Medicaid | SC | |
| P00279274 | Other | RAILROAD MEDICARE | |
| 582162071066 | Other | CHAMPUS | |
| 967351 | Other | GA | BLUE CROSS BLUE SHIELD | 
| 000133042D | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 018668 (Georgia) | Primary | 
| Entity Name | Mppg Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dariush Heidary, MD 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 Ph: (912) 354-7188 | Dariush Heidary, MD 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 Ph: (912) 354-7188 | 
| Dr. Lourens J Willekes Ii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 400, Savannah, GA 31404 Phone: 912-273-1100 Fax: 912-273-1111 | |
| David V Capallo, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 900 Mohawk Street Ste E, Savannah, GA 31419 Phone: 912-925-0067 Fax: 912-629-0280 | |
| Brian Marcus Bailey, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5354 Reynolds St Ste 102, Savannah, GA 31405 Phone: 912-819-0500 Fax: 912-819-0501 | |
| Dr. Roberto Rodriguez, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 403, Savannah, GA 31404 Phone: 912-273-1150 Fax: 912-273-2811 | |
| R Alan Hall, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 815 E 63rd St, Savannah, GA 31405 Phone: 912-355-8188 Fax: 912-356-6970 | |
| Mark M Suzuki, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11700 Mercy Blvd Bldg 1, Savannah, GA 31419 Phone: 912-819-0500 Fax: 912-819-0501 |